Healthcare Provider Details

I. General information

NPI: 1346605102
Provider Name (Legal Business Name): KIMBERLY CONLEY AANP NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/22/2015
Last Update Date: 01/17/2024
Certification Date: 01/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 COLUMBIA RD STE 200
WESTLAKE OH
44145-7215
US

IV. Provider business mailing address

2500 METROHEALTH DRIVE METROHEALTH MEDICAL CENTER
CLEVELAND OH
44109
US

V. Phone/Fax

Practice location:
  • Phone: 440-808-1212
  • Fax: 440-808-2060
Mailing address:
  • Phone: 216-778-7800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF0915809
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: