Healthcare Provider Details

I. General information

NPI: 1457775140
Provider Name (Legal Business Name): KRISTEN PARKS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/14/2014
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5950 SELLS MILL DR
DUBLIN OH
43017-2609
US

IV. Provider business mailing address

5950 SELLS MILL DR
DUBLIN OH
43017-2609
US

V. Phone/Fax

Practice location:
  • Phone: 614-718-8922
  • Fax:
Mailing address:
  • Phone: 614-718-8922
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License NumberOH3172138
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: