Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | 35-052188 | OH |
NPI | 1104824416 |
---|---|
Provider Name | Dr. Raymond J Kobus |
First Address | Columbus, OH 43240-6110 |
Second Address | Columbus, OH 43240-6110 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2005 |
Last Update Date | 26/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0640631 | (05) | OH |
C03141 | (02) | OH |