Individual
KAELY N BEACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OCPSA
Contact information
Practice address
401 TUSCARAWAS ST W, CANTON, OH 44702-2042
(440) 260-6466
Mailing address
434 EASTLAND RD, BEREA, OH 44017-1217
(440) 234-2006
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/07/2018
Last updated
04/07/2018
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