Individual
KAITLIN M SCHUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
925 N HAMILTON RD, GAHANNA, OH 43230-8708
(614) 473-9519
(614) 473-9543
Mailing address
925 N HAMILTON RD, GAHANNA, OH 43230-8708
(614) 473-9519
(614) 473-9543
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50.003369
OH
Other
Enumeration date
10/11/2011
Last updated
08/26/2016
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