Doctor Name: | KRISTEN RAE CAPPELLI |
NPI Number: | 1134524994 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 1972 Clark Ave Alliance, OH - 446013929 |
Business Phone Number: | 3308215320 |
Business Fax Number: | |
Mailing Address: | 2067 Leisure Rd Nw, MINERVA |
State: | OH |
Postal Code: | 446578824 |
Phone Number: | 3307712287 |
Fax Number: | |
NPI Enumeration Date: | 10/22/2014 |
NPI Last Update Date: | 10/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Specialist/Technologist, Other |
Taxonomy Specialization: | |
Taxonomy Definition: | General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |