Kelly A. Fryer-Tisevich in Canton - Specialist
Kelly A. Fryer-Tisevich - NPI 1902834807
Kelly A. Fryer-Tisevich is a Specialist in Canton, Ohio. Kelly A. Fryer-Tisevich practices all healthcare services and medical treatments related to Specialist. The NPI Number for Kelly A. Fryer-Tisevich is 1902834807. The last update date is 2007-09-24.
Kelly A. Fryer-Tisevich's current location address is 4650 Hills And Dales Rd Nw, Canton, Ohio. You can contact this provider via phone number 3304779720. The mailing address for Kelly A. Fryer-Tisevich is 4650 Hills And Dales Rd Nw, Canton, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly A. Fryer-Tisevich |
|---|---|
| Address | 4650 Hills And Dales Rd Nw, Canton, Ohio |
| Phone Number | 3304779720 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | P.T. |
NPI Number Detail
| NPI Number | 1902834807 |
|---|---|
| Provider Enumeration Date | 2006-06-29 |
| Last Updated Date | 2007-09-24 |
Provider Mailing Address Detail
| Address | 4650 Hills And Dales Rd Nw |
|---|---|
| City | Canton |
| State | Ohio (OH) |
| Post Code | 447086220 |
| Phone Number | 3304779720 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | PT10607 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PT - 10607 | OH | PT LICENSE |
Post Comment/ Review Below
What is the Kelly A. Fryer-Tisevich's unique identification number?
The Kelly A. Fryer-Tisevich has been assigned the NPI (National Provider Identifier) Number 1902834807 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Kelly A. Fryer-Tisevich's facilities are situated?
The facilities of Kelly A. Fryer-Tisevich are physically located at the following address: 4650 Hills And Dales Rd Nw, Canton, OH, 447086220.
What is the Kelly A. Fryer-Tisevich's specialty and taxonomy code?
The Kelly A. Fryer-Tisevich's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
When did Kelly A. Fryer-Tisevich receive its 1902834807 assignment?
The Kelly A. Fryer-Tisevich was assigned its 1902834807 on 2006-06-29, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Kelly A. Fryer-Tisevich, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kelly A. Fryer-Tisevich, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-09-24.
NPI Number: 1851381982
Address: 30 Courthouse Sq, Byrdstown, TN