Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 35.135001 | OH |
Y | 2080P0202X | Pediatric Cardiologist | 35.135001 | OH |
NPI | 1104940824 |
---|---|
Provider Name | Dr. Kathryn Duche Nardell |
First Address | Columbus, OH 43205-2664 |
Second Address | Columbus, OH 43205-2664 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2007 |
Last Update Date | 11/02/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001121500 | (05) | FL |
0319048 | (05) | OH |
145J8 | FL BLUE SHIELD (01) | FL |