Individual
DIANNA M KINNIK-LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
5100 W BROAD ST, COLUMBUS, OH 43228-1607
(614) 544-2058
(614) 544-2444
Mailing address
5350 FRANTZ RD, DUBLIN, OH 43016-4259
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.232339-COA1
OH
363LF0000X
Family Nurse Practitioner
Primary
COA.16135-NP
OH
Other
Enumeration date
07/10/2014
Last updated
01/25/2022
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