Organization
FAMILY PHYSICIANS OF LIMA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KARRI L KRENDL M.D. (OWNER)
(419) 991-7805
Entity
Organization
Contact information
Practice address
119 S BROADWAY, SPENCERVILLE, OH 45887
(419) 647-4165
(419) 647-4183
Mailing address
2875 W ELM ST, LIMA, OH 45805
(419) 991-7805
(419) 991-7862
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
OH
207V00000X
Obstetrics & Gynecology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0823854
MEDICAID, GROUP #
OH
01
—
1134112469
GROUP NPI#, PRIMARY OFFIC
OH
01
—
1184619595
NPI ELISE D CLARK CNP
OH
01
—
1215941711
NPI TRACY L SHARP DO
OH
01
—
1346235728
NPI CHRISTINE R GAYNIER M
OH
01
—
1710972047
NPI ERIC T STALLKAMP MD
OH
01
—
1831183896
NPI KARRI L KRENDL MD
OH
01
—
9934001
MEDICARE, GROUP #
OH
Enumeration date
11/01/2006
Last updated
07/31/2007
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