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Organization
THE CADUCEUS CORPORATION
Active
Organization
THE CADUCEUS CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH C. RYAN (PRESIDENT)
(614) 527-4581
Entity
Organization
Contact information
Practice address
5333 TRIPLE CROWN CT, COLUMBUS, OH 43221-5619
(614) 527-4581
(614) 573-6676
Mailing address
5333 TRIPLE CROWN CT, COLUMBUS, OH 43221-5619
(614) 527-4581
(614) 573-6676
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
2400066
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0002357
—
OH
01
—
2400066
BUREAU OF CHILDREN W/HAND
OH
05
—
2400066
—
OH
01
—
2528830
MRDD WAIVER PROVIDER
OH
Enumeration date
03/02/2006
Last updated
08/22/2020
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