| |
307 West Main Street, Suite C, Kent, OH 44240-2400 | |
(330) 677-3628 | |
(330) 677-4931 |
Full Name | |
---|---|
Type | Facility |
Speciality | Physical Medicine & Rehabilitation - Pain Medicine |
Location | 307 West Main Street, Kent, Ohio |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699986620 | NPI | - | NPPES |
0251070 | Medicaid | OH | |
2406275 | Medicaid | OH | |
2675921 | Medicaid | OH | |
0926887 | Medicaid | OH | |
2082866 | Medicaid | OH | |
4085673 | Medicaid | OH | |
2311331 | Medicaid | OH | |
2493038 | Medicaid | OH |
Mailing Address | Practice Location Address |
---|---|
Po Box 715479, Columbus, OH 43271-5479 Ph: (330) 677-3628 | 307 West Main Street, Suite C, Kent, OH 44240-2400 Ph: (330) 677-3628 |