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Individual

MR. BENJAMIN KRAVITZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
205 W BAGLEY RD, BEREA, OH 44017-1886
(440) 398-8018
Mailing address
1430 OAK CT STE 100, BEAVERCREEK, OH 45430-1064
(937) 404-1101

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.007513RX
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0010131
OH
Enumeration date
08/15/2014
Last updated
05/06/2025
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