Wyne, Kathleen L.
Wyne, Kathleen L. is an individual health care provider with primary practice located at 543 Taylor Ave , Columbus OH 43203-1278. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Wyne, Kathleen L. can be contacted via phone (614) 685-3333.Contact Information
Primary practice address
543 Taylor Ave
Columbus OH 43203-1278
Phone: (614) 685-3333
Fax: (614) 366-0345
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | J3004 | Texas |
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 35.124567 | Ohio |
Profile Details
NPI number | 1497731640 |
---|---|
LBN Legal business name | Wyne, Kathleen L. |
Credentials | M.D., PH.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 20th, 2005 |
Last updated | Dec 28th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1497731640 | NPPES |
Texas | MEDICAID | 036834203 | |
Texas | MEDICAID | PO80133K5 | |
Texas | Other | DE4842 | |
Texas | MEDICAID | 2122240 | |
Texas | MEDICAID | 036834205 | |
Texas | Other | 8V4457 | |
Texas | MEDICAID | 0116849 |
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