Individual
KYLE D KISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6545 MARKET AVE N STE 100, CANTON, OH 44721-2430
(440) 773-7647
Mailing address
6545 MARKET AVE N STE 100, CANTON, OH 44721-2430
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT009561
OH
Other
Enumeration date
01/08/2020
Last updated
11/07/2022
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