Individual
KRISTIN MICELI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4665 BELPAR ST NW, CANTON, OH 44718-3602
(330) 493-1480
Mailing address
4665 BELPAR ST NW, CANTON, OH 44718-3602
(330) 493-1480
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0038280
OH
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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