Individual
MICHELLE M KILBANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3975 EMBASSY PKWY, AKRON, OH 44333-8320
(330) 668-4040
(330) 668-4078
Mailing address
3975 EMBASSY PKWY, AKRON, OH 44333-8320
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
50.003933RX
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0096821
—
OH
Enumeration date
09/17/2013
Last updated
11/02/2018
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