MEDICARE: MRS. KRISTIN L ABBRUZZI PA

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	363A00000X	Physician Assistant	50.003062RX	OH

General Provider Information

NPI Number	:	1548228018
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KRISTIN L ABBRUZZI PA

Provider Business Mailing Address
First Line	:	4900 GETTYSBURG RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43220-2520
Country	:	US
Telephone Number	:	614-442-1012
Fax Number	:	614-442-7726

Provider Business Practice Location Address
First Line	:	4900 GETTYSBURG RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43220-2520
Country	:	US
Telephone Number	:	317-607-3091
Fax Number	:	614-442-7726

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

Provider Enumeration Date	:	05/03/2006
Last Update Date	:	12/16/2025

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