Doctor Name: | BETSY D EKEY |
NPI Number: | 1003929159 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 50.002921 |
Business Practice Address: | 4650 Hills And Dales Rd Nw Canton, OH - 447086220 |
Business Phone Number: | 3304919675 |
Business Fax Number: | 3304911682 |
Mailing Address: | 893 Parkway Blvd, ALLIANCE |
State: | OH |
Postal Code: | 446012750 |
Phone Number: | 6103089869 |
Fax Number: | |
NPI Enumeration Date: | 08/15/2006 |
NPI Last Update Date: | 09/30/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 50.002921 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |