Provider Demographics
NPI:1912916560
Name:KIRKSEY, LEVESTER (MD)
Entity Type:Individual
Prefix:DR
First Name:LEVESTER
Middle Name:
Last Name:KIRKSEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:LEVESTER
Other - Middle Name:
Other - Last Name:KIRKSEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:9500 EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44195-0001
Mailing Address - Country:US
Mailing Address - Phone:216-444-2892
Mailing Address - Fax:216-444-4508
Practice Address - Street 1:9300 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-3304
Practice Address - Country:US
Practice Address - Phone:216-444-2892
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2018-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHMD064244L2086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery