Individual
GEORGE H KEFALAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2600 TUSCARAWAS ST W, STE 100, CANTON, OH 44708-4696
(330) 452-8844
(330) 452-7012
Mailing address
2600 TUSCARAWAS ST W, STE 100, CANTON, OH 44708-4696
(330) 452-8844
(330) 452-7012
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
35-081058
OH
207RP1001X
Pulmonary Disease Physician
35-081058
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000186367
UNISON HEALTH PLAN
—
01
—
000000364351
ANTHEM BC/BS
OH
05
—
2560607
—
OH
01
—
341574729038
CARESOURCE
—
01
—
341574729N
AULTCARE
—
01
—
733472
BUCKEYE COMMUNITY HEALTH
—
01
—
Q041672
THE HEALTH PLAN
—
Enumeration date
06/01/2005
Last updated
01/05/2011
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