Keith Karlo
Individual provider Active NPI Peer Specialist · Rootstown, OH
NPI 1265253447 · NPPES record last updated Oct 21, 2024
Key facts
- NPI
- 1265253447
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- License
- APS003101 (OH)
- Practice address
- 3941 Marsh Creek LN
Rootstown, OH 44272-9280 - Phone
- (330) 541-0557
- NPI assigned
- Oct 21, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APS003101 | OH | MD | Peer Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | APS003101 | OH | Yes |
Addresses
Primary practice location
3941 Marsh Creek LN
Rootstown, OH 44272-9280
Mailing address
3941 Marsh Creek LN
Rootstown, OH 44272-9280
Phone (330) 541-0557
Other providers in Rootstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.