Individual
STACIE RENEE KOBYLANSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4665 DOUGLAS CIR NW STE 100, CANTON, OH 44718-3673
(330) 499-5700
(330) 498-4229
Mailing address
88 WILLOW DR, BOARDMAN, OH 44512-2109
(330) 501-5130
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
127185
OH
Other
Enumeration date
01/07/2020
Last updated
01/07/2020
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