Individual
KATHLEEN J SKUBAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
765 N HAMILTON RD, STE. 255, GAHANNA, OH 43230-8703
(614) 337-9100
(614) 337-0027
Mailing address
5400 FRANTZ RD, STE 250, DUBLIN, OH 43016-4144
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
CTP05944
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0120888
—
OH
Enumeration date
10/19/2006
Last updated
10/19/2016
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