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Channel King, PROVIDER

NPI 1417524463 · on the registry since 2021 · sole proprietor

Practice

Address
2235 Manchester Rd
Akron, OH 44314
Phone
(330) 631-9688

Registry record

Primary taxonomy
347C00000X
347C00000X
Also registered as
253Z00000X
343900000X
3747P1801X
376J00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-06-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio