Kimberly A Rericha PA-C

NPI 1073589180 - Physician Assistant - 363A00000X

NPI Details
NPI 1073589180
Gender Female
Enumeration Date 02/28/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 12 years ago
Practice Location
EUCLID OH, 44119-1078, US
Phone (216) 531-9000
Business Location
PO BOX 74253
CLEVELAND OH, 44194-0002, US
Phone (440) 879-0081
Fax (440) 879-0084
Taxonomy Code 363A00000X
License State Ohio
License Number 50-002407
Remove 1073589180 NPI Number

According to our database, Kimberly A Rericha PA-C NPI is 1073589180, taxonomy code is 363A00000X and license number is 50-002407, license state is located at Ohio. Kimberly A Rericha PA-C physically located at 18901 Lake Shore Blvd, Euclid OH, 44119-1078. NPI Number Kimberly A Rericha PA-C has the Individual type.

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1073589180 NPI number is provided on an as is basis without warranty of any kind. 1073589180 is maintained by the National Plan & Provider Enumeration System. The contents of Kimberly A Rericha PA-C are for informational purposes only.