Doctor Name: | KAYLEE BRAY |
NPI Number: | 1871906933 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | AGACNP-BC |
License Number: | 137404 |
Business Practice Address: | 9500 Euclid Ave Cleveland, OH - 441950001 |
Business Phone Number: | 2164454545 |
Business Fax Number: | |
Mailing Address: | 1539 Orchard Grove Ave, LAKEWOOD |
State: | OH |
Postal Code: | 441073727 |
Phone Number: | 7138185229 |
Fax Number: | |
NPI Enumeration Date: | 06/06/2014 |
NPI Last Update Date: | 06/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 146N00000X |
License Number: | 137404 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Emergency Medical Service Providers |
Taxonomy Classification: | Emergency Medical Technician, Basic |
Taxonomy Specialization: | |
Taxonomy Definition: | A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |