Individual
KEVIN CHRISTOPHER EARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2835 FRED TAYLOR DR, COLUMBUS, OH 43202-1552
(614) 293-3600
(614) 293-2910
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-3600
(614) 293-2910
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.008331RX
OH
Other
Enumeration date
08/07/2023
Last updated
10/02/2023
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