Healthcare Provider Details

I. General information

NPI: 1427368141
Provider Name (Legal Business Name): JULIA M KROPP PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JULIA M KLUDING PA-C

II. Dates (important events)

Enumeration Date: 10/15/2010
Last Update Date: 03/17/2024
Certification Date: 03/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 N MURRAY HILL RD
COLUMBUS OH
43228-1524
US

IV. Provider business mailing address

75 REMIT DR # 1025
CHICAGO IL
60675-1025
US

V. Phone/Fax

Practice location:
  • Phone: 614-710-1496
  • Fax:
Mailing address:
  • Phone: 866-916-5259
  • Fax: 231-922-4030

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number50.003167RX
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number50003167
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: