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Dr. Kyle J Ericson, MD
Urology Physician in Westlake, Ohio
NPI 1174933048

Kyle J Ericson is a Urology Physician based in University Heights, OH. Kyle J Ericson practices in Westlake, OH and has the professional credentials of MD. The NPI Number for Kyle J Ericson is 1174933048 and holds a License No. 57.026312 (Ohio).

The current practice location address for Kyle J Ericson is 29000 Center Ridge Rd Ste 400, Westlake, OH and can be reached out via phone at 440-835-8000.

Location: 29000 Center Ridge Rd Ste 400, Westlake, OH, 44118-3720
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174933048
Provider Name
Kyle J Ericson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
29000 Center Ridge Rd Ste 400, Westlake, OH, 44118-3720
Phone Number
440-835-8000
Fax Number
Provider Enumeration Date
05/01/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0454660 05 OH
institution
Provider Business Practice Location Address Details
Address
29000 Center Ridge Rd Ste 400
City
Westlake
State
Ohio
Zip
44145-5219
Phone Number
440-835-8000
Fax Number
person
Provider Business Mailing Address Details
Address
29000 Center Ridge Rd Ste 400
City
Westlake
State
Ohio
Zip
44145-5219
Phone Number
440-835-8000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
(Illinois)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
57.026312 (Ohio)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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