Individual
MR. KODI VEALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3975 EMBASSY PKWY, AKRON, OH 44333-8320
(330) 668-4040
(330) 668-4078
Mailing address
3975 EMBASSY PKWY, AKRON, OH 44333-8320
(330) 668-4040
(330) 668-4078
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50.004003RX
OH
363AS0400X
Surgical Physician Assistant
50.004003
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0099147
—
OH
Enumeration date
03/07/2014
Last updated
06/22/2021
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