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Organization

IVIM, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TAYLOR KANTOR MD (MEDICAL DIRECTOR)
(614) 940-2204
Entity
Organization

Contact information

Practice address
4200 REGENT ST STE 200, COLUMBUS, OH 43219-6229
(877) 581-2210
(614) 968-8840
Mailing address
4200 REGENT ST STE 200, COLUMBUS, OH 43219-6229
(877) 581-2210
(614) 968-8840

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
09/04/2023
Last updated
09/04/2023
Update your record

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