Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 35.097340 | OH |
NPI | 1053593566 |
---|---|
Provider Name | Mrs. Angela O Kyei |
First Address | Cleveland Heights, OH 44118 |
Second Address | Cleveland Heights, OH 44118-3413 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/11/2007 |
Last Update Date | 16/04/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0051799 | (05) | OH |