| Organization Name: | KENT STATE UNIVERSITY |
| NPI Number: | 1205871985 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANGELA J DEJULIUS (ADMINISTRATOR) |
| Mailing Address: | 1500 Eastway Dr Kent |
| State: | OH US |
| Postal Code: | 442420001 |
| Phone Number: | 3306728194 |
| Fax Number: | 3306722272 |
| NPI Enumeration Date: | 06/18/2006 |
| NPI Last Update Date: | 03/01/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |