Individual
KENNETH MICHAEL MORELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
6824 LINBROOK BLVD, COLUMBUS, OH 43235-5117
(614) 937-7401
Mailing address
6824 LINBROOK BLVD, COLUMBUS, OH 43235-5117
(614) 937-7401
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0027233
OH
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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