Individual
KYLE P PELC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
44 RADIO CITY BLVD, COLUMBUS, OH 43235-8936
(740) 501-6437
Mailing address
44 RADIO CITY BLVD, COLUMBUS, OH 43235-8936
(740) 501-6437
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
363744
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
019734
OH
Other
Enumeration date
08/22/2018
Last updated
10/15/2018
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