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Individual
KRISTIN K TITKO
Active
Individual
KRISTIN K TITKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
2794
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000367064
ANTHEM
KY
01
—
000000367064
ANTHEM
OH
05
—
0962561
—
OH
01
—
294816
AMERIGROUP
OH
01
—
310817854029
CARESOURCE
OH
01
—
480016193
RAIL ROAD MEDICARE
OH
01
—
480032088
RAIL ROAD MEDICARE
KY
05
—
80000110
—
KY
Enumeration date
08/17/2005
Last updated
05/19/2016
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