Individual
EVAN KENNERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
140 SAND RUN RD, AKRON, OH 44313-6000
(330) 812-0161
Mailing address
140 SAND RUN RD, AKRON, OH 44313-6000
(330) 812-0161
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
172A00000X
Driver
Primary
—
—
Other
Enumeration date
07/21/2021
Last updated
01/06/2023
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