Provider Demographics
NPI:1710900626
Name:RAMSEY, KENT LEROY (MD)
Entity Type:Individual
Prefix:
First Name:KENT
Middle Name:LEROY
Last Name:RAMSEY
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 1:4912 HIGBEE AVE NW
Mailing Address - Street 2:STE 200
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44718
Mailing Address - Country:US
Mailing Address - Phone:330-492-2844
Mailing Address - Fax:330-492-0840
Practice Address - Street 1:4912 HIGBEE AVE NW
Practice Address - Street 2:STE 200
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44718
Practice Address - Country:US
Practice Address - Phone:330-492-2844
Practice Address - Fax:330-492-0840
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2010-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35063056207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0881005Medicaid
F27864Medicare UPIN
RA0716961Medicare ID - Type Unspecified