| Kaiser Permanente | |
|
2500 State Route 59 Suite 28 Kent OH 44240-7105 | |
| (216) 265-8844 | |
| (216) 265-8890 |
| Full Name | Kaiser Permanente |
|---|---|
| Speciality | Internal Medicine |
| Location | 2500 State Route 59, Kent, Ohio |
| Authorized Official Name and Position | Craig Faerber (VP/CFO) |
| Authorized Official Contact | 2162658844 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kaiser Permanente 12301 Snow Rd Parma OH 44130-1002 Ph: (216) 265-8844 | Kaiser Permanente 2500 State Route 59 Suite 28 Kent OH 44240-7105 Ph: (216) 265-8844 |
| NPI Number | 1598042442 |
|---|---|
| Provider Enumeration Date | 11/07/2011 |
| Last Update Date | 11/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598042442 | NPI | - | NPPES |
| 0211372 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Ohio) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
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