MEDICARE: KRASH KARE MEDICAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1093676140
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KRASH KARE MEDICAL

Provider Business Mailing Address
First Line	:	1170 OLD HENDERSON RD STE 120
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43220-7600
Country	:	US
Telephone Number	:	614-456-7562
Fax Number	:	614-429-3997

Provider Business Practice Location Address
First Line	:	1170 OLD HENDERSON RD STE 120
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43220-7600
Country	:	US
Telephone Number	:	614-456-7562
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KHANIKA YOUNG
Credential	:	MSN, APRN, FNP-BC
Telephone Number	:	614-282-5251

Provider Enumeration Date	:	11/19/2025
Last Update Date	:	04/20/2026

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