Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 35068522K | OH |
Y | 111NI0900X | Internist | 35068522K | OH |
NPI | 1003808015 |
---|---|
Provider Name | Helen K Koselka |
First Address | Cincinnati, OH 45263-0001 |
Second Address | Cincinnati, OH 45220-3027 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2005 |
Last Update Date | 23/05/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2020815 | (05) | OH |
E62717 | (02) | OH |