Organization
DR KEWA LI MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEWA LI MD (OWNER)
(614) 760-0622
Entity
Organization
Contact information
Practice address
2931 DONNYLANE BLVD, COLUMBUS, OH 43235-3228
(614) 760-0622
(614) 760-0610
Mailing address
PO BOX 635493, CINCINNATI, OH 45263-5493
(614) 451-8770
(614) 451-2291
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35079470
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2814413
—
OH
01
—
DF7242
RAILROAD MEDICARE
OH
Enumeration date
10/12/2006
Last updated
06/04/2010
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