Individual
KRISTIN NICOLE LATESSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 AKRON GENERAL AVE, AKRON, OH 44307-2432
(330) 344-6000
Mailing address
1 AKRON GENERAL AVE, AKRON, OH 44307-2432
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.006039RX
OH
363A00000X
Physician Assistant
MA060829
PA
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103686710
—
PA
01
—
14551063
CAQH
—
Enumeration date
07/01/2019
Last updated
05/21/2023
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