Individual
JUSTIN KORNICKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
199 S CENTRAL AVE, COLUMBUS, OH 43223-1301
(614) 274-9500
Mailing address
199 S CENTRAL AVE, COLUMBUS, OH 43223-1301
(614) 274-9500
(614) 274-9500
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
APS.006033
OH
Other
Enumeration date
04/07/2025
Last updated
04/07/2025
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