MEDICARE: COLE M KAGER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician		OH

General Provider Information

NPI Number	:	1528901279
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COLE M KAGER

Provider Business Mailing Address
First Line	:	1430 WILBUR DR NE
Second Line	:
City	:	NORTH CANTON
State	:	OH
Zip	:	44720-1741
Country	:	US
Telephone Number	:	330-933-6364
Fax Number	:

Provider Business Practice Location Address
First Line	:	1430 WILBUR DR NE
Second Line	:
City	:	NORTH CANTON
State	:	OH
Zip	:	44720-1741
Country	:	US
Telephone Number	:	330-933-6364
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2026
Last Update Date	:	04/09/2026

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Directions to “ COLE M KAGER ” Practice Location

Language	Start Address	Practice Location

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