Individual provider · Type 1 NPI

Michael James Pellicane

Student in an Organized Health Care Education/Training Program · Kent, OH

NPI number 1821720475 Active

Practice location

5982 Rhodes Rd
Kent, OH 44240-8100

Call (330) 673-1347 Map

Fax (330) 678-3677

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1821720475

Michael James Pellicane's National Provider Identifier is 1821720475, issued on Jun 30, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Kent, OH. The record was last updated on Jun 30, 2022.