Organization · Type 2 NPI

Kent State University

Rehabilitation Clinic/Center · Kent, OH

NPI number 1669994620 Active

Practice location

350 Midway Dr Macc Anx Rm 123
Kent, OH 44242-0001

Call (330) 672-8426 Map

Mailing address

1500 Eastway Dr
Kent, OH 44242-0001

Specialties and licenses

Taxonomy	Code	License
Rehabilitation Clinic/Center Primary	261QR0400X	None listed

Rehabilitation Clinic/Center: Definition to come...

NPI record

NPI: 1669994620
Entity type: Organization (Type 2)
Issued: Jul 12, 2017
Last updated: Jul 12, 2017
Status: Active
Subpart: Yes of Kent State University

Other names

<unavail>
Kent State University Sports Medicine · other name
Kent State University Sports Medicine · other name

Authorized official

Julie A Volcheck
Director
(330) 672-8194

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1669994620

Kent State University's National Provider Identifier is 1669994620, issued on Jul 12, 2017. The primary taxonomy on file is Rehabilitation Clinic/Center (261QR0400X), and the practice location is in Kent, OH. The record was last updated on Jul 12, 2017.