Individual provider · Type 1 NPI

Kathleen Busack

Pediatric Nurse Practitioner · Columbus, OH

NPI number 1104363936 Active

Practice location

700 Childrens Dr
Columbus, OH 43205

Other practice locations

  • 5665 Venture Dr, Dublin, OH 43017-2159 · (614) 722-2000
  • 5675 Venture Dr, Dublin, OH 43017-2159 · (614) 722-2000
  • 7853 Pacer Dr, Delaware, OH 43015-7571 · (614) 722-2000
  • 555 S 18th St, Columbus, OH 43205-2654 · (614) 722-2000
  • 4439 State Route 159, Chillicothe, OH 45601-8207 · (614) 722-2000
  • 716 Adair Ave, Zanesville, OH 43701-2836 · (614) 722-2000
  • 6435 E Broad St, Columbus, OH 43213-1507 · (614) 722-2000
  • 8930 Ohio River Rd, Wheelersburg, OH 45694-1922 · (614) 722-2000
  • 740 Adair Ave, Zanesville, OH 43701-2838 · (614) 722-6200
  • 536 S Trimble Rd, Mansfield, OH 44906-3418 · (614) 722-6200

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XAPRN.CNP.019360 (OH)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1104363936

Kathleen Busack's National Provider Identifier is 1104363936, issued on Jan 31, 2017. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Columbus, OH. The record was last updated on Aug 5, 2026.