Individual
MS. PATRICIA KELLY BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6905 HOSPITAL DR STE 130, DUBLIN, OH 43016-9600
(614) 923-0300
Mailing address
335 GLESSNER AVE, MANSFIELD, OH 44903-2269
(419) 520-2495
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
003769
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0087772
—
OH
Enumeration date
04/19/2006
Last updated
03/14/2018
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