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KENT STATE UNIVERSITY NPI 1689871220


NPI Information

NPI: 1689871220
Provider Name: KENT STATE UNIVERSITY

Doing Business As: KENT STATE UNIVERSITY SPEECH & HEARING CLINIC

Classification: Clinic/Center - 261QH0700X
Entity Type: Organization

Specialization: Hearing and Speech

Address:
1325 THEATRE DR A126 CENTER FOR THE PERFORMING ARTS
KENT, OH
ZIP 44242
Phone: (330) 672-0250
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KENT STATE UNIVERSITY is a hearing and speech clinic center in Kent, OH. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability. KENT STATE UNIVERSITY NPI is 1689871220. The provider is registered as an organization entity type.
The provider Is Doing Business As Kent State University Speech & Hearing Clinic.

The provider's business location address is:

1325 THEATRE DR A126 CENTER FOR THE PERFORMING ARTS
KENT, OH
ZIP 44242-001
Phone: (330) 672-0250
Fax: (330) 672-2643

The provider's authorized official is Mark M Polatajko .
The authorized official title is Sr Vp Finance & Administration and has the following contact phone number (330) 672-2422.

The enumeration date for this NPI number is 6/28/2007 and was last updated on 8/16/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QH0700XClinic/CenterHearing and SpeechYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14644504MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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