Healthcare Provider Details

I. General information

NPI: 1649174293
Provider Name (Legal Business Name): KADASHA N KELSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1219 BARCELONA DR APT 21
AKRON OH
44313-5214
US

IV. Provider business mailing address

1219 BARCELONA DR APT 21
AKRON OH
44313-5214
US

V. Phone/Fax

Practice location:
  • Phone: 330-730-4685
  • Fax:
Mailing address:
  • Phone: 330-730-4685
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: