Individual
KELLY LYNN PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.N.P.
Contact information
Practice address
4875 HIGBEE AVE NW, CANTON, OH 44718-2566
(330) 492-3345
(330) 491-9758
Mailing address
4875 HIGBEE AVE NW, CANTON, OH 44718-2566
(330) 353-1808
(330) 491-9758
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
COA.18134-NP
OH
Other
Enumeration date
10/07/2015
Last updated
10/09/2015
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