Individual
KRISTEN ANN V. MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
915 OLENTANGY RIVER RD, COLUMBUS, OH 43212-3153
(614) 293-8116
(614) 293-5315
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-8116
(614) 293-5315
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35139232
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0410154
—
OH
Enumeration date
06/04/2015
Last updated
11/16/2020
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