Healthcare Provider Details

I. General information

NPI: 1477487387
Provider Name (Legal Business Name): NEMANJA AL-KUHEL
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 PENFIELD AVE
AKRON OH
44310-2912
US

IV. Provider business mailing address

532 ORCHARD AVE
BARBERTON OH
44203-1817
US

V. Phone/Fax

Practice location:
  • Phone: 330-762-6110
  • Fax:
Mailing address:
  • Phone: 330-807-5370
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.532145
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: