Healthcare Provider Details

I. General information

NPI: 1659294718
Provider Name (Legal Business Name): KRISTINA SLEMKER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8706 COTTER ST
LEWIS CENTER OH
43035-7135
US

IV. Provider business mailing address

8706 COTTER ST
LEWIS CENTER OH
43035-7135
US

V. Phone/Fax

Practice location:
  • Phone: 614-855-4411
  • Fax:
Mailing address:
  • Phone: 614-855-4411
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0042823
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: