Organization
KRISTIN L OAKS DO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTIN LIESER OAKS DO (OWNER PHYSICIAN)
(614) 785-9333
Entity
Organization
Contact information
Practice address
933 HIGH ST STE 116, WORTHINGTON, OH 43085-4046
(614) 785-9333
(614) 785-9335
Mailing address
933 HIGH ST STE 116, WORTHINGTON, OH 43085-4046
(614) 785-9333
(614) 785-9335
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34-00-7232-0
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000386699
ANTHEM
OH
05
—
2291256
—
OH
Enumeration date
12/27/2006
Last updated
04/07/2008
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