Individual
SUSAN N KASUBICK-TILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
555 S 18TH ST, COLUMBUS, OH 43205-2654
(614) 722-2000
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-2000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.001392RX
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0383154
—
OH
Enumeration date
07/05/2006
Last updated
04/24/2025
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