Individual
ELIETH KOKWESIGA KAMALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
691 E DUBLIN GRANVILLE RD, COLUMBUS, OH 43229-3209
(614) 574-1823
(614) 420-2229
Mailing address
1902 SOLERA DR, COLUMBUS, OH 43229-9135
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
PN.126463
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0034160
OH
Other
Enumeration date
04/16/2008
Last updated
06/30/2023
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