Individual
KNIAKA R BETHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
4885 OLENTANGY RIVER RD STE 1-10, COLUMBUS, OH 43214
(614) 268-6555
(614) 457-5713
Mailing address
4885 OLENTANGY RIVER RD STE 1-10, COLUMBUS, OH 43214-1953
(614) 268-6555
(614) 457-5713
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN.CNP.08435
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2621041
—
OH
Enumeration date
12/07/2005
Last updated
06/27/2018
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