| Northeast Family Practice | |
|
6200 Cleveland Ave Suite 101 Columbus OH 43231-8608 | |
| (614) 898-0150 | |
| (614) 898-0694 |
| Full Name | Northeast Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 6200 Cleveland Ave, Columbus, Ohio |
| Authorized Official Name and Position | Keith Allen Blakely (PHYSICIAN) |
| Authorized Official Contact | 6148980150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Family Practice 6200 Cleveland Ave Suite 101 Columbus OH 43231-8608 Ph: (614) 898-0150 | Northeast Family Practice 6200 Cleveland Ave Suite 101 Columbus OH 43231-8608 Ph: (614) 898-0150 |
| NPI Number | 1205019643 |
|---|---|
| Provider Enumeration Date | 12/07/2007 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205019643 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 052152 (Ohio) | Primary |
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