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Individual

KRISTIN K TITKO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
6770 CINCINNATI DAYTON RD, SUITE 201, LIBERTY TOWNSHIP, OH 45044-9318
(513) 729-4455
(513) 644-4993
Mailing address
6770 CINCINNATI DAYTON RD, SUITE 201, LIBERTY TOWNSHIP, OH 45044-9318
(513) 729-4455
(513) 644-4993

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
2794
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000367064
ANTHEM
KY
01
000000367064
ANTHEM
OH
05
0962561
OH
01
294816
AMERIGROUP
OH
01
310817854029
CARESOURCE
OH
01
480016193
RAIL ROAD MEDICARE
OH
01
480032088
RAIL ROAD MEDICARE
KY
05
80000110
KY
Enumeration date
08/17/2005
Last updated
05/19/2016
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