Healthcare Provider Details

I. General information

NPI: 1730044017
Provider Name (Legal Business Name): KAYLEE A SHARKEY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3757 W 139TH ST
CLEVELAND OH
44111-4408
US

IV. Provider business mailing address

36000 EUCLID AVE
WILLOUGHBY OH
44094-4625
US

V. Phone/Fax

Practice location:
  • Phone: 440-781-0879
  • Fax:
Mailing address:
  • Phone: 440-781-0879
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAPRN.CNP.0041010
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: