Individual provider · Type 1 NPI

Kylee Pesa, PA-C

Surgical Physician Assistant · Cleveland, OH

NPI number 1750517587 Active

Practice location

11100 Euclid Ave
Cleveland, OH 44106-1716

Mailing address

20800 Harvard Rd, 2nd Floor
Highland Hills, OH 44122-7249

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400X001917 (CT)
Surgical Physician Assistant Primary 363AS0400X50.003275 (OH)

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About NPI 1750517587

Kylee Pesa, PA-C's National Provider Identifier is 1750517587, issued on Jun 8, 2009. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Cleveland, OH. The record was last updated on Sep 3, 2015.