Individual
KYLE ANDREW BONHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 WARING WAY, COLUMBUS, OH 43213-3475
(740) 382-0144
Mailing address
5166 CARBONDALE DR, COLUMBUS, OH 43232-4618
(614) 329-5953
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
05/25/2024
Last updated
05/25/2024
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