NPI Code Details Logo

NPI 1093638678

NPI 1093638678 : KAITLYN MYK-KISH PHARMD : AKRON, OH

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1093638678
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    KAITLYN MYK-KISH PHARMD
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/31/2026
-----------------------------------------------------
    Last Update Date     |    07/31/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1 AKRON GENERAL AVE 
-----------------------------------------------------
    City                 |    AKRON
-----------------------------------------------------
    State                |    OH
-----------------------------------------------------
    Zip                  |    44307-2432
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    330-344-6000
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    4727 G P EASTERLY RD 
-----------------------------------------------------
    City                 |    WEST FARMINGTON
-----------------------------------------------------
    State                |    OH
-----------------------------------------------------
    Zip                  |    44491-9733
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    234-600-4454
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    183500000X
-----------------------------------------------------
    Taxonomy Name        |    Pharmacist
-----------------------------------------------------
    License Number       |    03445572
-----------------------------------------------------
    License Number State |    OH
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.