| Doctor Name: | KYLEY OGARD |
| NPI Number: | 1376861047 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNP |
| License Number: | 11463-NP |
| Business Practice Address: | 9293 State Route 43 Suite B Streetsboro, OH - 442415374 |
| Business Phone Number: | 3306261113 |
| Business Fax Number: | 3306261133 |
| Mailing Address: | 5712 Vandalia Ave, CLEVELAND |
| State: | OH |
| Postal Code: | 441443945 |
| Phone Number: | 2169052293 |
| Fax Number: | |
| NPI Enumeration Date: | 05/05/2010 |
| NPI Last Update Date: | 04/13/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 11463-NP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |