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Organization

COLUMBUS EYELID PLASTIC SURGERY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. COURTNEY KAUH M.D. (PROVIDER/OWNER)
(614) 397-2404
Entity
Organization

Contact information

Practice address
725 BUCKLES CT N STE 110, GAHANNA, OH 43230-6884
(614) 397-2404
Mailing address
4113 CLAIRMONT RD, UPPER ARLINGTON, OH 43220-4501
(614) 397-2404

Taxonomy

Speciality
Code
Description
License number
State
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
261QM2500X
Medical Specialty Clinic/Center
261QS0132X
Ophthalmologic Surgery Clinic/Center

Other

Enumeration date
01/14/2022
Last updated
01/14/2022
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