Age Management & Internal Medicine Consultants Inc.
Organization Active NPI Internal Medicine Physician · Kent, OH
NPI 1366701575 · NPPES record last updated May 8, 2012
Key facts
- NPI
- 1366701575
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 35-074815 (OH)
- Legal business name
- AGE MANAGEMENT & INTERNAL MEDICINE CONSULTANTS INC.
- Practice address
- 1949 State Route 59
Suite 102
Kent, OH 44240-8124 - Phone
- (330) 673-0505
- Fax
- (330) 673-8708
- NPI assigned
- May 8, 2012
- Organization subpart
- No
Authorized official
- Name
- Dr. Victor Y Kopyev, MD
- Title
- Owner
- Phone
- (330) 686-2863
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | 35-074815 | OH | Yes |
Addresses
Primary practice location
1949 State Route 59
Suite 102
Kent, OH 44240-8124
Mailing address
1559 Elizabeth CT
Kent, OH 44240-5018
Phone (330) 673-0505
Other providers in Kent, OH
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- Brandi Adkins
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- Rahimah Ahmad
- Amber Aiken
- Julie J. Ainslie
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- T. John Akamatsu
All providers in Kent, OH · Internal Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2012. 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.