Individual
MARY H KRAVITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4074 GANTZ RD, GROVE CITY, OH 43123-4816
(614) 917-1346
(614) 259-0619
Mailing address
4074 GANTZ RD, GROVE CITY, OH 43123-4816
(614) 917-1346
(614) 259-0619
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.000647RX
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0083217
—
OH
Enumeration date
06/17/2006
Last updated
02/08/2022
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