Individual
DR. KRISTINA LYNN MINNITI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
3226 KENT RD, STOW, OH 44224-4429
(330) 929-3331
(330) 929-5408
Mailing address
3226 KENT RD, STOW, OH 44224-4429
(330) 929-3331
(330) 929-5408
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36.004133
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0450026
—
OH
01
—
36.004133
OHIO MEDICAL LICENSE
OH
Enumeration date
03/31/2021
Last updated
08/20/2024
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