NPI 1164552303

Nicole Dayna Kirksey

Practitioner Driver Canton, OH

Practice location

Address: 1442 Struble Ave NE, Canton, OH 44705-1253
Phone: (330) 830-6317

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence RV046173 (OH)

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Registry record

NPI: 1164552303
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Mar 2007
Record last updated: 9 Jul 2007

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.