Organization
LIFESTYLE MEDICAL SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN KEMP (PRESIDENT)
6146146191311
Entity
Organization
Contact information
Practice address
3998 INDIANOLA AVE, COLUMBUS, OH 43214-3158
(614) 573-7746
Mailing address
3998 INDIANOLA AVE, COLUMBUS, OH 43214-3158
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
11/22/2016
Last updated
11/22/2016
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