Individual
KATHRYN TLOCZYNSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
650 SHAWAN FALLS DR, DUBLIN, OH 43017-2100
(614) 764-1711
(614) 889-2652
Mailing address
650 SHAWAN FALLS DR, DUBLIN, OH 43017-2100
(614) 764-1711
(614) 889-2652
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP09572
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00737304
RR MEDICARE INDIVIDUAL PTAN
OH
01
—
1351
RR MEDICARE GRP PTAN
OH
Enumeration date
09/24/2007
Last updated
09/15/2009
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