ODIN AZAZEL KISNER
NPI 1144905811
Case Manager/Care Coordinator in Canton, OH

Q: What is Odin Kisner's NPI number?

The NPI number for Odin Kisner is 1144905811. It was assigned to this individual provider in the NPPES registry on June 20, 2023.

Q: What is Odin Kisner's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Odin Kisner was last updated on June 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 20, 2023

2421 13TH ST NW, CANTON, OH 44708(330) 452-6000 Get Directions Write a Review

NPPES record last updated: June 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Odin Azazel Kisner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ODIN AZAZEL KISNER (NPI 1144905811) is an individual case manager/care coordinator provider in Canton, Ohio and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1144905811

Entity TypeIndividualMale

Primary Taxonomy171M00000X

Provider Legal NameODIN AZAZEL KISNER

Location Address2421 13TH ST NWCanton, OH 44708-3116

Mailing Address5982 Rhodes RdKent, OH 44240-8100 · (330) 673-1347 · Fax (330) 678-3677

Phone(330) 452-6000

Sole ProprietorNo

Enumeration DateJune 20, 2023

NPPES CertifiedJune 20, 2023

✔ NPI 1144905811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

2421 13TH ST NW, Canton, OH 44708

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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