Organization
KSPMD LLC
Active
Other names
The Center For Lifestyle Change
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN S PADGITT MD (PRESIDENT)
(888) 565-6754
Entity
Organization
Contact information
Practice address
45 MCCLURG RD, BOARDMAN, OH 44512-6737
(888) 565-6754
(330) 746-1315
Mailing address
45 MCCLURG RD, BOARDMAN, OH 44512-6737
(888) 565-6754
(330) 746-1315
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.060428
OH
Other
Enumeration date
02/22/2013
Last updated
10/04/2013
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