Individual
KRISTY JO KETHE DOZIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA, MNA
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-2200
Mailing address
2250 5TH AVE, YOUNGSTOWN, OH 44504
(843) 283-9494
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
210194
SC
207L00000X
Anesthesiology Physician
Primary
21063A
OH
367500000X
Certified Registered Nurse Anesthetist
21063
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
21063A
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN2683
—
SC
Enumeration date
01/03/2017
Last updated
05/05/2026
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