Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0200X | Critical Care Medicine | 34.011354 | OH |
NPI | 1013207851 |
---|---|
Provider Name | Ms. Tiffany Mccann |
First Address | Lexington, KY 40536-0001 |
Second Address | Akron, OH 44304-1619 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2011 |
Last Update Date | 07/01/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
127945 | (05) | OH |