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NPI Code Detail

MEDICARE: KRISTI RAE POLING RN, BSN

MEDICARE: KRISTI RAE POLING RN, BSN
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
1163WP2201XAmbulatory Care Registered Nurse374569OH

General Provider Information

NPI Number : 1861199697
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTI RAE POLING RN, BSN
Provider Business Mailing Address
First Line : 420 N JAMES RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43219-1834
Country : US
Telephone Number : 614-257-5200
Fax Number :
Provider Business Practice Location Address
First Line : 420 N JAMES RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43219-1834
Country : US
Telephone Number : 614-257-5200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2023
Last Update Date : 03/10/2026

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