Organization
EAST HOLMES FAMILY CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT KIM KORNHAUS MD (TREASURER-PHYSICIAN)
(330) 893-3771
Entity
Organization
Contact information
Practice address
2040 TR 661, DUNDEE, OH 44624
(330) 359-5989
(330) 359-3590
Mailing address
PO BOX 366, BERLIN, OH 44610
(330) 359-5989
(330) 359-3590
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0851369
—
OH
Enumeration date
04/10/2007
Last updated
07/01/2014
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