NPI 1003076431

Occmed Source, LLC

Organisation Family Medicine Physician Kent, OH

Practice location

Address: 174 Currie Hall Pkwy Suite D, Kent, OH 44240-4387
Phone: (330) 548-0086
Fax: (330) 548-0085

Authorised official

Name: Gregory a Moten
Title: Medical Director
Phone: (330) 548-0086

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Ohio →

Registry record

NPI: 1003076431
Entity type: Organization
NPI issued: 10 Jun 2008
Record last updated: 10 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.