Healthcare Provider Details

I. General information

NPI: 1861305526
Provider Name (Legal Business Name): MR. JAMES MICHAEL KEINATH II
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

246 E CAMPUS VIEW BLVD
COLUMBUS OH
43235-4634
US

IV. Provider business mailing address

246 E CAMPUS VIEW BLVD
COLUMBUS OH
43235-4634
US

V. Phone/Fax

Practice location:
  • Phone: 614-505-3126
  • Fax: 614-431-4601
Mailing address:
  • Phone: 614-505-3126
  • Fax: 614-431-4601

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: