Individual
KENEVIL TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
940 COLONIAL AVE, CANAL FULTON, OH 44614-9168
(330) 312-0319
Mailing address
940 COLONIAL AVE, CANAL FULTON, OH 44614-9168
(330) 312-0319
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
RR362794
OH
Other
Enumeration date
12/03/2024
Last updated
12/03/2024
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