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NPI Code Detail

MEDICARE: SOUMYA MARY KURIAN CNP

MEDICARE: SOUMYA MARY KURIAN CNP
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
1363LF0000XFamily Nurse Practitioner019747OH

General Provider Information

NPI Number : 1760932594
Entity Type Code : Individual
Provider Name (Legal Business Name) : SOUMYA MARY KURIAN CNP
Provider Business Mailing Address
First Line : 100 HIGHVIEW BLVD
Second Line :
City : COLUMBUS
State : OH
Zip : 43207-6023
Country : US
Telephone Number : 614-826-9995
Fax Number :
Provider Business Practice Location Address
First Line : 100 HIGHVIEW BLVD
Second Line :
City : COLUMBUS
State : OH
Zip : 43207-6023
Country : US
Telephone Number : 614-826-9995
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2016
Last Update Date : 01/05/2019

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