Individual
KELSEY PERKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ECMH
Contact information
Practice address
625 CLEVELAND AVE NW, CANTON, OH 44702-1805
(330) 445-2677
(330) 455-2101
Mailing address
625 CLEVELAND AVE NW, CANTON, OH 44702-1805
(330) 455-0374
(330) 453-6716
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TK846577
DRIVER LICENSE
OH
Enumeration date
05/21/2018
Last updated
10/24/2023
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