Kristen Kodish

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP.11810 Issued in OH

Practice address

1620 Market Ave S
Canton, OH 44707

Phone

(330) 458-0518

NPI assigned

Sep 1, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1437605060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 LAWN DR",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443121218",
            "telephone_number": "330-715-7135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 MARKET AVE S",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "44707",
            "telephone_number": "330-458-0518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KODISH",
        "first_name": "KRISTEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.11810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Fitzgerald Knoch, M.D.
• Christine Marie Knudsen, ST
• Elizabeth M Kobak, LPCC
• Stacie Renee Kobylanski, CRNA
• Linda Marie Koceski, R.PH.
• Chanakya Kodishala, MBBS
• Martha Joann Koehler, LMT
• Margaret A Koenig, RD, LD, CDE
• Richard Alan Kohut, LISW
• Dennis Bruce Kolarik, D.O.

• Speech-Language Pathologist in Canton, OH
• Providers in Canton, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.