| First Light Wellness Center | |
|
6463 Proprietors Rd Ste 201 Worthington OH 43085-3263 | |
| (513) 629-0040 | |
| Not Available |
| Full Name | First Light Wellness Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 6463 Proprietors Rd Ste 201, Worthington, Ohio |
| Authorized Official Name and Position | Paul Kyei (PRACTICE OWNER) |
| Authorized Official Contact | 5136290040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| First Light Wellness Center 6463 Proprietors Rd Ste 201 Worthington OH 43085-3263 Ph: (513) 629-0040 | First Light Wellness Center 6463 Proprietors Rd Ste 201 Worthington OH 43085-3263 Ph: (513) 629-0040 |
| NPI Number | 1184431280 |
|---|---|
| Provider Enumeration Date | 12/12/2024 |
| Last Update Date | 12/12/2024 |
| Medicare PECOS PAC ID | 4981113065 |
|---|---|
| Medicare Enrollment ID | O20250530003123 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184431280 | NPI | - | NPPES |
| Provider Name | Nyla B Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669060083 PECOS PAC ID: 9739585175 Enrollment ID: I20210928003617 |
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