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Individual
KRISTA B BEDENKOP
Active
Individual
KRISTA B BEDENKOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71004605A
IN
363L00000X
Nurse Practitioner
Primary
APRN.CNP.14892
OH
363LF0000X
Family Nurse Practitioner
71004605A
IN
363LF0000X
Family Nurse Practitioner
APRN.CNP.14892
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201211160
—
IN
Enumeration date
09/18/2013
Last updated
07/16/2026
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