Individual
KORI ELIZABETH HASTRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
1243 E BROAD ST, COLUMBUS, OH 43205-1404
(614) 321-7856
Mailing address
1243 E BROAD ST, COLUMBUS, OH 43205-1404
(614) 321-7856
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
CDCA.189678
OH
Other
Enumeration date
09/03/2025
Last updated
09/03/2025
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