Individual
KRISTEN E DAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3780 MEDINA RD, STE. 200, MEDINA, OH 44256-9311
(330) 722-3083
(330) 725-5043
Mailing address
3780 MEDINA RD, STE. 200, MEDINA, OH 44256-9311
(330) 722-3083
(330) 725-5043
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35079129
OH
246ZS0410X
Surgical Technologist
35-079129E
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2262215
—
OH
01
—
4057391
MEDICARE ID
OH
01
—
4057392
MEDICARE ID
OH
01
—
4057394
MEDICARE ID
OH
01
—
4057395
MEDICARE ID
OH
01
—
4057397
MEDICARE ID
OH
Enumeration date
01/11/2006
Last updated
12/15/2011
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