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Organization

KJB PROCTOLOGY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JESSICA LYNN PRICE D.O. (OWNER)
(614) 921-8686
Entity
Organization

Contact information

Practice address
5580 HILLIARD ROME OFFICE PARK, HILLIARD, OH 43026-7286
(614) 921-8686
Mailing address
5580 HILLIARD ROME OFFICE PARK, HILLIARD, OH 43026-7286

Taxonomy

Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
34.009849
OH

Other

Enumeration date
10/18/2010
Last updated
10/18/2010
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