Individual
KAZZIE BURNS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
726 LONGCOY AVE, KENT, OH 44240-2116
(330) 714-1416
Mailing address
726 LONGCOY AVE, KENT, OH 44240-2116
(330) 714-1416
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
67-605-5
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
67-605-5
—
OH
Enumeration date
01/06/2020
Last updated
01/06/2020
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