Organization
WESTERN RESERVE PROFESSIONAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY SEMANCIK (ADIMINSTRATIVE DIRECTOR)
(330) 677-3628
Entity
Organization
Contact information
Practice address
401 DEVON PL, KENT, OH 44240-6482
(330) 677-3628
(330) 677-3626
Mailing address
307 W MAIN ST, KENT, OH 44240-2400
(330) 677-3628
(330) 677-3626
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
10/25/2006
Last updated
08/22/2020
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