Healthcare Provider Details

I. General information

NPI: 1083170401
Provider Name (Legal Business Name): MELISSA KUHNS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MELISSA FOWLER

II. Dates (important events)

Enumeration Date: 02/11/2019
Last Update Date: 08/08/2024
Certification Date: 12/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

264 E CROSIER ST
AKRON OH
44311-2151
US

IV. Provider business mailing address

5828 ROC MARIE AVE
KENT OH
44240-7104
US

V. Phone/Fax

Practice location:
  • Phone: 330-996-7296
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number024205
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: