Individual
CRYSTAL KALOGRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
130 UNIVERSITY DR, MARION, OH 43302-1117
(740) 692-4450
(740) 692-4451
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727
(419) 520-2495
(614) 544-6370
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
11020373A
IN
207Q00000X
Family Medicine Physician
Primary
34.015799
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0492146
—
OH
Enumeration date
06/10/2019
Last updated
07/18/2022
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