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Individual

DEREK E KUES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1830 BETHEL RD, SUITE C, COLUMBUS, OH 43220-1809
(614) 754-8781
(614) 754-8924
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9016
(920) 684-1439

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.004788RX
OH

Other

Enumeration date
09/19/2016
Last updated
02/22/2021
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