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NPI Code Detail

MEDICARE: KRISTIN DEMORY

MEDICARE: KRISTIN DEMORY
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
1101YA0400XAddiction (Substance Use Disorder) CounselorCDCA.184396OH

General Provider Information

NPI Number : 1427608363
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIN DEMORY
Provider Business Mailing Address
First Line : 2727 S 3RD ST
Second Line :
City : IRONTON
State : OH
Zip : 45638-2760
Country : US
Telephone Number : 740-534-2100
Fax Number :
Provider Business Practice Location Address
First Line : 2727 S 3RD ST
Second Line :
City : IRONTON
State : OH
Zip : 45638-2760
Country : US
Telephone Number : 740-534-2100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2019
Last Update Date : 03/11/2026

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Directions to “ KRISTIN DEMORY ” Practice Location

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