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1972592236
KENNETH M VITELLAS
COLUMBUS, OH
NPI
1972592236
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: OH 35069099)
Enumeration Date
2005-10-19
Last Update Date
2007-07-18
Business Address
-- KENNETH M VITELLAS MD
793 W STATE ST
COLUMBUS, OH 43222-1551
Phone number: 614-234-5100
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Mailing Address
-- KENNETH M VITELLAS MD
DEPT L-647
COLUMBUS, OH 43260-0001
Phone number: 866-287-0568
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