Kristi Lynn Kamenelis
Individual provider Active NPI Chore Provider · Lockbourne, OH
NPI 1679279707 · NPPES record last updated Jan 31, 2023
Key facts
- NPI
- 1679279707
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chore Provider 372500000X
- Practice address
- 10694 E State Route 762 Lot 27
Lockbourne, OH 43137-7547 - Phone
- (614) 517-8105
- NPI assigned
- Jan 31, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chore Provider | 372500000X | OH | Yes |
Addresses
Primary practice location
10694 E State Route 762 Lot 27
Lockbourne, OH 43137-7547
Mailing address
10694 E State Route 762 Lot 27
Lockbourne, OH 43137-7547
Other providers in Lockbourne, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.