Individual
KONNER SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PRS
Contact information
Practice address
526 CANTON RD, AKRON, OH 44312-2554
(330) 625-4711
Mailing address
526 CANTON RD, AKRON, OH 44312-2554
(330) 625-4711
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
APS.006042
OH
Other
Enumeration date
02/25/2025
Last updated
02/25/2025
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