Provider Demographics
NPI:1336543628
Name:KAPUT, INGLISH (CNP)
Entity Type:Individual
Prefix:
First Name:INGLISH
Middle Name:
Last Name:KAPUT
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4575 STEPHENS CIR NW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44718-3629
Mailing Address - Country:US
Mailing Address - Phone:330-499-9944
Mailing Address - Fax:330-499-3056
Practice Address - Street 1:4575 STEPHENS CIR NW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44718-3629
Practice Address - Country:US
Practice Address - Phone:330-499-9944
Practice Address - Fax:330-499-3056
Is Sole Proprietor?:No
Enumeration Date:2014-10-15
Last Update Date:2014-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.16578-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily