Healthcare Provider Details

I. General information

NPI: 1053951293
Provider Name (Legal Business Name): KARIN SUE ADKINS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/15/2020
Last Update Date: 11/27/2023
Certification Date: 01/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 PENFIELD AVE
AKRON OH
44310-2912
US

IV. Provider business mailing address

1239 PLEASANTVIEW AVE SE
NORTH CANTON OH
44720-3841
US

V. Phone/Fax

Practice location:
  • Phone: 330-762-6110
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.278658
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: