Individual
KEVIN TYLER PITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1322 HONODLE AVE, AKRON, OH 44305-2708
(234) 525-7478
Mailing address
1322 HONODLE AVE, AKRON, OH 44305-2708
(234) 525-7478
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
7719071
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0420736
—
OH
Enumeration date
11/23/2020
Last updated
11/23/2020
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