Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael James Pellicane

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1821720475

Michael James Pellicane is a Student in an Organized Health Care Education/Training Program in Kent, Ohio. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

5982 Rhodes Rd
Kent, OH 44240-8100
Phone: (330) 673-1347
Fax: (330) 678-3677
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1821720475
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 30, 2022
Last updated in NPPESJune 30, 2022
Certification dateJune 30, 2022
Mailing address5982 Rhodes Rd, Kent, OH 44240-8100

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