Individual
KEVIN C MINEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
307 W MAIN ST, SUITE B, KENT, OH 44240-2400
(330) 678-7782
(330) 678-7301
Mailing address
307 W MAIN ST, SUITE B, KENT, OH 44240-2400
(330) 678-7782
(330) 678-7301
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35076920
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2247849
—
OH
Enumeration date
01/05/2006
Last updated
03/22/2011
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