Individual
DR. KEVIN A. MIKESELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
981 WOOSTER RD, MILLERSBURG, OH 44654-1536
(330) 674-1015
Mailing address
2949 CARIE HILL CIR NW, MASSILLON, OH 44646-2360
(330) 830-6509
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34004780
OH
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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