Individual
KISCA MICHELLE STURKIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2211 LAKE CLUB DR, COLUMBUS, OH 43232-3204
(614) 704-5224
Mailing address
6364 EVESHAM DR, CANAL WINCHESTER, OH 43110-8293
(614) 378-2501
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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