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Individual

MRS. KRISTEN TYNESKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
2600 SIXTH ST SW, CANTON, OH 44710-1702
(330) 363-2180
Mailing address
2600 SIXTH STREET SW, CANTON, OH 44710-1799

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
18866
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
18866
OH

Other

Enumeration date
03/01/2016
Last updated
12/18/2020
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