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Individual

KENDRA A KOULIANOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1995 E STATE ST, SALEM, OH 44460-2423
(330) 501-0540
Mailing address
2669 POLAND VILLAGE BLVD, POLAND, OH 44514-2462
(330) 501-0540

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
405528
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.0020266
OH

Other

Enumeration date
09/10/2020
Last updated
03/29/2021
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