Individual
KRISTEN E GENNARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
950 W WOOSTER ST, BOWLING GREEN, OH 43402-2603
(419) 354-8900
Mailing address
272 BENEDICT AVE, NORWALK, OH 44857-2374
(419) 660-6943
(419) 660-2686
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
57010713
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000568235
ANTHEM
OH
05
—
GE7385731
—
OH
Enumeration date
05/24/2007
Last updated
06/15/2022
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