Northeast Family Practice

NPI #1205019643 in Columbus, Ohio

Provider Information

NPI Number: 1205019643
Entity Type: Organization
Organization Name: Northeast Family Practice
Primary Specialty: Family Medicine
Enumeration Date: Dec 7, 2007
Last Updated: Apr 20, 2008

Practice Location

Address: 6200 CLEVELAND AVE
Address 2: SUITE 101
City: Columbus
State: Ohio
ZIP Code: 43231-8608
Phone: (614) 898-0150

Authorized Official

Name: DR. KEITH ALLEN BLAKELY, M.D.
Title: PHYSICIAN
Phone: (614) 898-0150

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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