KATHLEEN BROCKMAN
NPI 1700531316
Registered Nurse - Addiction (Substance Use Disorder) in Columbus, OH
Active since February 14, 2022
About Kathleen Brockman NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHLEEN BROCKMAN (NPI 1700531316) is an individual addiction (substance use disorder) provider in Columbus, Ohio, licensed in Ohio (210654) and active in the NPI registry since February 2022.
NPPES Registry Identity
NPI1700531316
Entity TypeIndividualFemale
Primary Taxonomy163WA0400X
Provider Legal NameKATHLEEN BROCKMAN
Location Address5875 CHANTRY DRColumbus, OH 43232-4764
Mailing Address5875 Chantry DrColumbus, OH 43232-4764
Phone(614) 604-8573
Sole ProprietorYes
Enumeration DateFebruary 14, 2022
NPPES CertifiedFebruary 14, 2022
✔ NPI 1700531316 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Addiction (Substance Use Disorder)Nursing Service Providers
Taxonomy Code163WA0400X
License✔ Licensed in OH · 210654
5875 CHANTRY DR, Columbus, OH 43232
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Non-emergency Medical Transport (VAN)
5875 CHANTRY DR
COLUMBUS, OH 43232
COLUMBUS, OH 43232
Registered Nurse (Addiction (Substance Use Disorder))
5875 CHANTRY DR
COLUMBUS, OH 43232
COLUMBUS, OH 43232
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700531316, enumerated as an "individual" on February 14, 2022.
The provider is located at 5875 CHANTRY DR COLUMBUS, OH 43232 and the phone number is (614) 604-8573.
Registered Nurse with taxonomy code 163WA0400X and a focus in Addiction (Substance Use Disorder).