Individual
MRS. ESTHER GRACE PABLO KANAYJORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1092 JEFFERSON ST, GREENFIELD, OH 45123-8319
(937) 981-1121
(937) 981-5660
Mailing address
104 ERIN COURT, HILLSBORO, OH 45133-0070
(937) 393-5781
(937) 393-5784
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35077853-K
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000184923
ANTHEM BC/BS
OH
01
—
0401451
UNITED HEALTH CARE
OH
01
—
2122096001
CIGNA
OH
05
—
2214839
—
OH
01
—
2355053
RHC MEDICAID FACILITY #
OH
01
—
363844
RHC MEDICARE FACILITY #
OH
01
—
7724279
AETNA
OH
Enumeration date
08/16/2005
Last updated
02/19/2008
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