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Individual

JESSIE KICHIGIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
500 THOMAS LANE, SUITE A3, DUBLIN, OH 43016-9600
(614) 566-2500
(614) 533-0335
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727
(614) 788-6010

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.022537
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0280500
OH
Enumeration date
04/30/2018
Last updated
03/09/2023
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