Kahla Gagne

Individual provider Primary Care Nurse Practitioner · NPI 1205221264

Kahla Gagne is a Nurse Practitioner in Broadview Heights, Ohio. Graduated from Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University in 2015, 11 years ago. Practices with University Hospitals Medical Group Inc, a 2,242-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying: 11
Trained at: Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University
Licensed in: OH
In the registry since: 2015

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Practice location Address checks out

1305 Stoney Run Trl
Broadview Heights, OH 44147-2555
Phone: (440) 315-4511

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary)	Taxonomy 363LP2300X · Licence RN.368003-COA17217 (OH)

Record details

NPI number	1205221264
Entity type	Individual (Type 1)
Gender	Female
Sole proprietor	No
NPI enumerated	April 6, 2015
Last updated in NPPES	April 6, 2015
Mailing address	11100 Euclid Ave, Cleveland, OH 44106-1716

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialty	NURSE PRACTITIONER
Medical school	CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated	2015 (11 years in practice)
Group practice	University Hospitals Medical Group Inc — 2242 clinicians
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount