Individual
KATHLEEN A LEE-OLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1459 SUPERIOR AVE NE, CANTON, OH 44705-1964
(330) 588-4892
(330) 588-4895
Mailing address
PO BOX 932100, CLEVELAND, OH 44193-0008
(216) 472-2730
(216) 472-2740
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA11164NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3122463
—
OH
Enumeration date
01/20/2010
Last updated
07/31/2013
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