MEDICARE: MISS KRISTEN D DUNN

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	376J00000X	Homemaker	2558825	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497020366
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS KRISTEN D DUNN

Provider Business Mailing Address
First Line	:	PO BOX 297906
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43229-7906
Country	:	US
Telephone Number	:	614-638-9195
Fax Number	:

Provider Business Practice Location Address
First Line	:	2157 HAMPSTEAD DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43229-2848
Country	:	US
Telephone Number	:	614-638-9195
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/12/2012
Last Update Date	:	03/12/2012

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Directions to “ MISS KRISTEN D DUNN ” Practice Location

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