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Michael James Pellicane
Student in an Organized Health Care Education/Training Program in Kent, Ohio
NPI 1821720475

Michael James Pellicane is a Student in an Organized Health Care Education/Training Program based in Kent, OH. Michael James Pellicane practices in Kent, OH. The NPI Number for Michael James Pellicane is 1821720475 and holds a License No. (Ohio).

The current practice location address for Michael James Pellicane is 5982 Rhodes Rd, Kent, OH and can be reached out via phone at 330-673-1347 and via fax at 330-678-3677.

Location: 5982 Rhodes Rd, Kent, OH, 44240-8100
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821720475
Provider Name
Michael James Pellicane
Credential
Provider Entity Type
Individual
Gender
Male
Address
5982 Rhodes Rd, Kent, OH, 44240-8100
Phone Number
330-673-1347
Fax Number
330-678-3677
Provider Enumeration Date
06/30/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5982 Rhodes Rd
City
Kent
State
Ohio
Zip
44240-8100
Phone Number
330-673-1347
Fax Number
330-678-3677
person
Provider Business Mailing Address Details
Address
5982 Rhodes Rd
City
Kent
State
Ohio
Zip
44240-8100
Phone Number
330-673-1347
Fax Number
330-678-3677
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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