Provider Demographics
NPI:1376750612
Name:FOX, KERMIT W (MD)
Entity Type:Individual
Prefix:
First Name:KERMIT
Middle Name:W
Last Name:FOX
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2603 W MARKET ST STE 200
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44313-4234
Mailing Address - Country:US
Mailing Address - Phone:800-941-6672
Mailing Address - Fax:330-666-4394
Practice Address - Street 1:2603 W MARKET ST STE 200
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44313-4234
Practice Address - Country:US
Practice Address - Phone:800-941-6672
Practice Address - Fax:330-666-4394
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD438381208VP0014X
TXN2502208VP0014X
OH35.0962212081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine