Organization
MANSFIELD RADIATION ONCOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYEE KOH M.D. (PRESIDENT)
(419) 526-8622
Entity
Organization
Contact information
Practice address
335 GLESSNER AVE, MANSFIELD, OH 44903-2269
(419) 526-8622
(419) 526-8198
Mailing address
PO BOX 567, CHAGRIN FALLS, OH 44022-0567
(216) 896-5683
(216) 464-5176
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2284639
—
OH
Enumeration date
08/09/2005
Last updated
07/21/2022
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