Healthcare Provider Details

I. General information

NPI: 1083621619
Provider Name (Legal Business Name): CITY OF KENT DIRECTOR OF FINANCE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2006
Last Update Date: 02/05/2024
Certification Date: 10/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 S DEPEYSTER ST
KENT OH
44240-7912
US

IV. Provider business mailing address

320 SOUTH DEPEYSTER
KENT OH
44240-7912
US

V. Phone/Fax

Practice location:
  • Phone: 330-676-7393
  • Fax: 330-676-7374
Mailing address:
  • Phone: 330-676-7393
  • Fax: 330-676-7374

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number StateOH

VIII. Authorized Official

Name: MR. DAVID RULLER
Title or Position: CITY MANAGER
Credential:
Phone: 330-676-7393