Provider Demographics
NPI:1548000771
Name:LANDZELIUS, KYRA MARIE (BA, MA, MED, PHD)
Entity type:Individual
Prefix:
First Name:KYRA
Middle Name:MARIE
Last Name:LANDZELIUS
Suffix:
Gender:F
Credentials:BA, MA, MED, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:157 CASTERTON AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44303-1513
Mailing Address - Country:US
Mailing Address - Phone:330-942-4520
Mailing Address - Fax:
Practice Address - Street 1:157 CASTERTON AVE APT 2
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44303-1513
Practice Address - Country:US
Practice Address - Phone:330-942-4520
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-27
Last Update Date:2024-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant