Individual
JOHN P KUEBLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
810 JASONWAY AVE, STE A, COLUMBUS, OH 43214-4359
(614) 442-3130
(614) 442-3145
Mailing address
810 JASONWAY AVE, STE A, COLUMBUS, OH 43214-4359
(614) 442-3130
(614) 442-3145
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
35044102
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000013858
ANTHEM
OH
05
—
0802868
—
OH
01
—
11548
NATIONWIDE
OH
01
—
3600069
UHC
OH
01
—
830002061
RAILROAD MEDICARE
OH
Enumeration date
06/22/2005
Last updated
02/03/2012
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