Healthcare Provider Details

I. General information

NPI: 1720651581
Provider Name (Legal Business Name): KELSIE VRABLE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2021
Last Update Date: 07/20/2021
Certification Date: 07/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

567 E TURKEYFOOT LAKE RD STE A1
AKRON OH
44319-4107
US

IV. Provider business mailing address

1282 CURTIS AVE
CUYAHOGA FALLS OH
44221-4318
US

V. Phone/Fax

Practice location:
  • Phone: 330-563-4018
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: