Healthcare Provider Details

I. General information

NPI: 1083523062
Provider Name (Legal Business Name): KORYNE ANN RAYL-VANSCOY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

245 N GRANT AVE
COLUMBUS OH
43215-2641
US

IV. Provider business mailing address

5820 WESTFALL RD SW
LANCASTER OH
43130-7994
US

V. Phone/Fax

Practice location:
  • Phone: 614-224-0747
  • Fax:
Mailing address:
  • Phone: 740-974-4667
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.478963
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: