Odin Azazel Kisner
Odin Azazel Kisner is a Case Manager/Care Coordinator in Canton, Ohio. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
2421 13th St NWCanton, OH 44708-3116
Phone: (330) 452-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1144905811 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 20, 2023 |
| Last updated in NPPES | June 20, 2023 |
| Certification date | June 20, 2023 |
| Mailing address | 5982 Rhodes Rd, Kent, OH 44240-8100 |
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