Individual
KRAYTON G. BLOWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
410 W 10TH AVE, COLUMBUS, OH 43210
(614) 293-7499
(614) 366-2360
Mailing address
700 ACKERMAN RD STE 570, COLUMBUS, OH 43202-1579
(614) 293-7499
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R2059
TX
208M00000X
Hospitalist Physician
Primary
34.013486
OH
208M00000X
Hospitalist Physician
R2059
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0313340
—
OH
05
—
371395001
—
TX
01
—
371395002
CSHCN
TX
Enumeration date
04/25/2014
Last updated
02/21/2019
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