Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RP1001X | Pulmonary Disease | 35121187 | OH |
Y | 2080P0201X | Pediatric Allergist | 35121187 | OH |
NPI | 1235453119 |
---|---|
Provider Name | Ms. Kasey Rae Strothman |
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 | 21/03/2010 |
Last Update Date | 14/01/2016 |