Individual
EZEKIEL KIMURGOR RUTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2700 E DUBLIN GRANVILLE RD STE 590, COLUMBUS, OH 43231-4094
(614) 256-2543
Mailing address
872 TAPESTRY PARK DR APT 101, LEWIS CENTER, OH 43035-7849
(614) 256-2543
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
423804
OH
164W00000X
Licensed Practical Nurse
PN.126891-M-IV
OH
Other
Enumeration date
07/25/2012
Last updated
04/20/2021
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