Individual
KRISTEN MICHONSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1710 COLUMBUS PIKE, DELAWARE, OH 43015-2726
(740) 549-2700
Mailing address
5400 FRANTZ RD STE 250, DUBLIN, OH 43016-6102
(419) 520-2495
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
003123
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0093005
—
OH
Enumeration date
09/19/2010
Last updated
12/15/2021
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