Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 170100000X | Medical Geneticist | 0000025926 | TN |
Y | 207W00000X | Ophthalmologist | 35088802 | OH |
NPI | 1831159110 |
---|---|
Provider Name | Daryl D Kaswinkel |
First Address | Columbus, OH 43213-2120 |
Second Address | Columbus, OH 43213-2120 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2006 |
Last Update Date | 12/11/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2901971 | (05) | OH |
3881763 | (05) | TN |
G52733 | (02) | TN |