# MICHELLE KAPON MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891049862
- **Authorized official:** MICHELLE KAPON MD (OWNER)
- **Authorized official phone:** (330) 759-6000

## Contact information

- **Practice address:** 20 FAIRLAWN AVE, YOUNGSTOWN, OH 44505-2143
- **Practice address phone:** (330) 759-6000
- **Practice address fax:** (330) 759-6006
- **Mailing address:** 20 FAIRLAWN AVE, YOUNGSTOWN, OH 44505-2143
- **Mailing address phone:** (330) 759-6000
- **Mailing address fax:** (330) 759-6006

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 35093877 | OH | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | 35093877 | OH | — |

## Other

- **Enumeration date:** 10/30/2012
- **Last updated:** 10/30/2012