Organization
KM MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY MICHELLE DOUPLE NP (NP/SOLE PROPRIETER)
(937) 287-4296
Entity
Organization
Contact information
Practice address
118 PRICE AVE, COLUMBUS, OH 43201-5400
(937) 287-4296
Mailing address
118 PRICE AVE, COLUMBUS, OH 43201-5400
(937) 287-4296
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/09/2022
Last updated
12/09/2022
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