Healthcare Provider Details

I. General information

NPI: 1477149706
Provider Name (Legal Business Name): PAULA KUHARIK
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/21/2020
Last Update Date: 12/21/2020
Certification Date: 12/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3680 HIGHLAND RD
CLEVELAND OH
44111-5243
US

IV. Provider business mailing address

3680 HIGHLAND RD
CLEVELAND OH
44111-5243
US

V. Phone/Fax

Practice location:
  • Phone: 440-376-0357
  • Fax:
Mailing address:
  • Phone: 440-367-0357
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: