Individual
KIM LEWIS MCBRIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-3545
(614) 722-3546
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-2000
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
35084887
OH
207SG0202X
Clinical Biochemical Genetics Physician
35.084887
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2507586
—
OH
01
—
4139231
CGS - MEDICARE
OH
Enumeration date
08/22/2005
Last updated
03/11/2022
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