Individual
NICOLE KORNDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3900 STONERIDGE LN STE C, DUBLIN, OH 43017-2289
(614) 366-9324
(614) 366-9339
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-7417
(614) 293-5167
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35128436
OH
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
35128436
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0167961
—
OH
Enumeration date
05/02/2013
Last updated
03/25/2021
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