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NPI Code Detail

MEDICARE: KATHLEEN ELLEN TALBOT MD

MEDICARE: KATHLEEN ELLEN TALBOT MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician35.053141OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
43613031OTHEROHLODI COMMUNITY HOSPITAL MEDICARE GROUP #

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11801807870OTHEROHLODI COMMUNITY HOSPITAL TYPE 2 NPI #
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
31003849910OTHEROHLODI COMMUNITY CARE CENTER TYPE 2 NPI #
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1841258274
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN ELLEN TALBOT MD
Provider Business Mailing Address
First Line : 2780 AIRPORT DR STE 100
Second Line :
City : COLUMBUS
State : OH
Zip : 43219-2289
Country : US
Telephone Number : 614-859-1906
Fax Number : 614-645-5517
Provider Business Practice Location Address
First Line : 1500 E 17TH AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43219-1002
Country : US
Telephone Number : 614-645-2700
Fax Number : 614-645-5517
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2006
Last Update Date : 04/20/2019

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Directions to “ KATHLEEN ELLEN TALBOT MD” Practice Location

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