Individual
MALLORY KRZYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1028 S BROADWAY, GENEVA, OH 44041-7124
(647) 705-1655
Mailing address
4009 SHI MAR DR, ASHTABULA, OH 44004-4640
(440) 813-1579
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
50.007819RX
OH
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/04/2022
Last updated
12/14/2025
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