Organization
AMERICAN KIDNEY STONE MANAGEMENT LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RIC HUGHES (CHIEF FINANCIAL OFFICER)
(614) 298-8150
Entity
Organization
Contact information
Practice address
100 W 3RD AVE, STE 350, COLUMBUS, OH 43201-3256
(614) 298-8150
(614) 291-9452
Mailing address
100 W 3RD AVE, STE 350, COLUMBUS, OH 43201-3256
(614) 298-8150
(614) 291-9452
Taxonomy
Speciality
Code
Description
License number
State
261QL0400X
Lithotripsy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000231421
ANTHEM
OH
Enumeration date
03/02/2007
Last updated
05/02/2014
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