OrganizationActive
Age Management & Internal Medicine Consultants Inc.
NPI 1366701575 · Internal Medicine Physician · Kent, OH
Provider details
- NPI number
- 1366701575
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Victor Kopyev, Owner
- License
- 35-074815 (OH)
Practice location
1949 State Route 59
Suite 102
Kent, OH 44240-8124
Phone: (330) 673-0505
Fax: (330) 673-8708
Mailing address
1559 Elizabeth Ct
Kent, OH 44240-5018
Registry dates
- Enumerated
- 2012-05-08
- Last updated
- 2012-05-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.