Individual
ANN R KOOKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3624 W MARKET ST STE 101, FAIRLAWN, OH 44333-4510
(330) 665-0555
(330) 665-0556
Mailing address
3624 W MARKET ST STE 101, FAIRLAWN, OH 44333-4510
(330) 665-0555
(330) 665-0556
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35081935K
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2376414
—
OH
Enumeration date
09/14/2006
Last updated
11/27/2023
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