Individual
KRISTA DUCKLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1425 N FAIRFIELD RD STE 110, BEAVERCREEK, OH 45432-2674
(937) 426-0106
(937) 426-7153
Mailing address
1425 N FAIRFIELD RD STE 110, BEAVERCREEK, OH 45432-2674
(937) 426-0106
(937) 426-7153
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN.CNP.0030823
OH
Other
Enumeration date
05/31/2022
Last updated
10/12/2022
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