NPI 1063061281
Kelli Lynne Carroll, QMHS
Practice location
- Address
- 601 Cleveland Ave NW, Canton, OH 44702-1836
- Phone
- (330) 455-0374
- Fax
- (330) 453-6716
- Mailing address
- 625 Cleveland Ave NW, Canton, OH 44702-1805
Registered specialties
Community Health Worker
Primary
Registry record
- NPI
- 1063061281
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 10 Sep 2019
- Record last updated
- 10 Sep 2019
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.