Individual
BENJAMIN KIPKOSGEI MAIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6354 ROSSI DR, CANAL WINCHESTER, OH 43110-8567
(614) 218-2236
Mailing address
6354 ROSSI DR, CANAL WINCHESTER, OH 43110-8567
(614) 218-2236
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN127236-M-IV
OH
Other
Enumeration date
05/22/2013
Last updated
05/22/2013
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