Individual
KRISTEN DIANE GRAVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
530 S MAIN ST, LIMA, OH 45804-1500
(419) 425-5050
Mailing address
530 S MAIN ST, LIMA, OH 45804-1240
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OH
Other
Enumeration date
04/21/2026
Last updated
04/21/2026
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