Organization
KSN PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KORTO SULONGTEH-NELSON (OWNER)
(330) 310-6812
Entity
Organization
Contact information
Practice address
1841 FAIRLAWN KNOLLS DR, AKRON, OH 44313-5435
(330) 310-6812
(330) 776-5557
Mailing address
1841 FAIRLAWN KNOLLS DR, AKRON, OH 44313-5435
(330) 310-6812
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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