Provider Demographics
NPI:1891885521
Name:CLEVELAND PUBLIC SCHOOLS
Entity Type:Organization
Organization Name:CLEVELAND PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT SUPT. OF SCHOOLS
Authorized Official - Prefix:MS
Authorized Official - First Name:KARIE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:KELLERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-358-2210
Mailing Address - Street 1:600 N GILBERT AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OK
Mailing Address - Zip Code:74020-1023
Mailing Address - Country:US
Mailing Address - Phone:918-358-2210
Mailing Address - Fax:918-358-3071
Practice Address - Street 1:600 N GILBERT AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OK
Practice Address - Zip Code:74020-1023
Practice Address - Country:US
Practice Address - Phone:918-358-2210
Practice Address - Fax:918-358-3071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)