Individual
KRISTEN KODISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1620 MARKET AVE S, CANTON, OH 44707
(330) 458-0518
Mailing address
265 LAWN DR, AKRON, OH 44312-1218
(330) 715-7135
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.11810
OH
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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