Provider Demographics
NPI:1609410778
Name:KIGHT, NATAUSHA
Entity type:Individual
Prefix:MRS
First Name:NATAUSHA
Middle Name:
Last Name:KIGHT
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:NATAUSHA
Other - Middle Name:
Other - Last Name:COKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:764 CHALKER ST
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44310-2114
Mailing Address - Country:US
Mailing Address - Phone:330-252-5635
Mailing Address - Fax:
Practice Address - Street 1:12 E EXCHANGE ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44308-1519
Practice Address - Country:US
Practice Address - Phone:234-334-3293
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-01
Last Update Date:2019-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator