Individual
DIANA LYNN KAISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
112 ERNEST DR, TALLMADGE, OH 44278-1629
(330) 687-2377
Mailing address
112 ERNEST DR, TALLMADGE, OH 44278-1629
(330) 687-2377
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/05/2016
Last updated
09/05/2016
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