Healthcare Provider Details

I. General information

NPI: 1093638678
Provider Name (Legal Business Name): KAITLYN MYK-KISH PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 AKRON GENERAL AVE
AKRON OH
44307-2432
US

IV. Provider business mailing address

4727 G P EASTERLY RD
WEST FARMINGTON OH
44491-9733
US

V. Phone/Fax

Practice location:
  • Phone: 330-344-6000
  • Fax:
Mailing address:
  • Phone: 234-600-4454
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03445572
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: