Individual
KERRY MCKINSTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AA, BA
Contact information
Practice address
329 ARLINGTON AVE NW, CANTON, OH 44708-4703
(330) 323-8229
Mailing address
329 ARLINGTON AVE NW, CANTON, OH 44708-4703
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
—
—
347C00000X
Private Vehicle
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2668948
—
OH
01
—
7603696
ODMRDD CONTRACT NUMBER
OH
Enumeration date
05/21/2007
Last updated
09/11/2025
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