# KRISELL D. FEDRIZZI, D.O.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467064865
- **Authorized official:** DR. KRISELL D FEDRIZZI DO (OWNER)
- **Authorized official phone:** (937) 974-9716

## Contact information

- **Practice address:** 325 N MAIN ST STE 206, SPRINGBORO, OH 45066-8005
- **Practice address phone:** (937) 949-4713
- **Practice address fax:** (855) 460-5802
- **Mailing address:** 325 N MAIN ST STE 206, SPRINGBORO, OH 45066-8005
- **Mailing address phone:** (937) 949-4713
- **Mailing address fax:** (855) 460-5802

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/18/2020
- **Last updated:** 08/18/2020