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Individual

KRISTINE A SCORDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
4000 MIAMISBURG CENTERVILLE RD, SUITE 100, MIAMISBURG, OH 45342-7615
(937) 643-9939
(937) 643-9949
Mailing address
4000 MIAMISBURG CENTERVILLE RD, SUITE 100, MIAMISBURG, OH 45342-7615
(937) 643-9939
(937) 643-9949

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
COA05877NP
OH
363LA2100X
Acute Care Nurse Practitioner
RN146504
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3138509
OH
Enumeration date
08/31/2006
Last updated
05/11/2016
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