Individual
BETSY D EKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4650 HILLS AND DALES RD NW, CANTON, OH 44708-6220
(330) 491-9675
(330) 491-1682
Mailing address
893 PARKWAY BLVD, ALLIANCE, OH 44601-2750
(610) 308-9869
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50.002921
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50.002921
STATE LICENSE
OH
Enumeration date
08/15/2006
Last updated
09/30/2011
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