Individual
DR. TARA JEAN OAKEY-KIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
510 WEST 44TH ST, ASHTABULA, OH 44004
(440) 992-1500
(440) 992-8749
Mailing address
510 WEST 44TH ST, ASHTABULA, OH 44004
(440) 992-1500
(440) 992-8749
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2827
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2174749
—
OH
Enumeration date
10/03/2006
Last updated
07/08/2007
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