Individual
SANDRA L KORDIS-RUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C-NP
Contact information
Practice address
201 OLD BANK RD, MILFORD, OH 45150-2416
(513) 248-0100
(513) 248-4334
Mailing address
201 OLD BANK RD, STE 100, MILFORD, OH 45150-2443
(513) 683-5700
(513) 683-5701
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
COA.06675-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2584001
—
OH
Enumeration date
03/29/2006
Last updated
12/15/2021
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