Individual
MRS. JESSICA LAUREN KLAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6100 WHIPPLE AVE NW, NORTH CANTON, OH 44720-7618
(330) 305-6999
(330) 244-8115
Mailing address
1401 S ARCH AVE STE A, ALLIANCE, OH 44601-4288
(330) 596-7581
(844) 269-4253
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
50.003852
OH
363AS0400X
Surgical Physician Assistant
Primary
50,003852
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0093760
—
OH
Enumeration date
09/16/2013
Last updated
07/15/2022
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