Organization
CAPITAL CITY NEUROSURGERY LLC
Active
Organization
CAPITAL CITY NEUROSURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY JIYONG KIEHM MD (PRESIDENT)
(614) 300-1105
Entity
Organization
Contact information
Practice address
3600 OLENTANGY RIVER RD, BLDG 480, COLUMBUS, OH 43214-3437
(614) 300-1105
(614) 678-8851
Mailing address
3600 OLENTANGY RIVER RD, BLDG 480, COLUMBUS, OH 43214-3437
(614) 300-1105
(614) 678-8851
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
35-080525
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2647112
—
OH
Enumeration date
09/16/2012
Last updated
03/11/2015
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