Organization
KENT STATE UNIVERSITY
Active
Other names
Kent State University Speech & Hearing Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MARK M POLATAJKO (SR VP FINANCE & ADMINISTRATION)
(330) 672-2422
Entity
Organization
Contact information
Practice address
1325 THEATRE DR A126 CENTER FOR THE PERFORMING ARTS, KENT, OH 44242-0001
(330) 672-0250
(330) 672-2643
Mailing address
1325 THEATRE DR A126 CENTER FOR THE PERFORMING ARTS, KENT, OH 44242-0001
(330) 672-0250
(330) 672-2643
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4644504
—
OH
Enumeration date
06/28/2007
Last updated
08/16/2019
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