Healthcare Provider Details

I. General information

NPI: 1033288220
Provider Name (Legal Business Name): KRISTA G GELFORD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/06/2006
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2141 N FAIRFIELD RD STE C
BEAVERCREEK OH
45434-2579
US

IV. Provider business mailing address

2141 N FAIRFIELD RD STE C
BEAVERCREEK OH
45431-2579
US

V. Phone/Fax

Practice location:
  • Phone: 937-427-2112
  • Fax: 937-427-2215
Mailing address:
  • Phone: 937-427-2112
  • Fax: 937-427-2215

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number35059682
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: