Individual
JON A KOTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
543 TAYLOR AVE, COLUMBUS, OH 43203-1278
(614) 293-8315
(614) 293-6935
Mailing address
700 ACKERMAN RD, COLUMBUS, OH 43202-1559
(614) 293-8315
(614) 293-6935
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
ME45823
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
049209400
—
FL
Enumeration date
08/20/2006
Last updated
02/19/2024
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