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Individual

ALEXIS KEATING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1320 MERCY DR NW, CANTON, OH 44708-2614
(330) 489-1000
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.009120RX
OH
363AS0400X
Surgical Physician Assistant
50.009120RX
OH

Other

Enumeration date
10/28/2024
Last updated
10/28/2024
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