Provider Demographics
NPI:1053593566
Name:KYEI, ANGELA O (MD)
Entity type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:O
Last Name:KYEI
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2323 LEE ROAD
Mailing Address - Street 2:COSMOPOLITAN DERMATOLOGY
Mailing Address - City:CLEVELAND HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44118
Mailing Address - Country:US
Mailing Address - Phone:216-417-3250
Mailing Address - Fax:216-417-3251
Practice Address - Street 1:3461 WARRENSVILLE CENTER RD STE 100
Practice Address - Street 2:
Practice Address - City:SHAKER HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44122-5227
Practice Address - Country:US
Practice Address - Phone:216-417-3250
Practice Address - Fax:216-417-3251
Is Sole Proprietor?:No
Enumeration Date:2007-11-27
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35.097340207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0051799Medicaid
H004670Medicare PIN