Individual
MS. COURTNEY KAVANAUGH BISHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-2000
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-2461
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.003834
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0097021
—
OH
Enumeration date
09/25/2013
Last updated
04/24/2025
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