Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 35.136384 | OH |
NPI | 1003278227 |
---|---|
Provider Name | Dr. Lindsay H Kneen |
First Address | Columbus, OH 43205-2664 |
Second Address | Columbus, OH 43205-2639 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2016 |
Last Update Date | 10/09/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0353355 | (05) | OH |
H676820 | CGS-MEDICARE (01) | OH |