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Individual

SCOTT G. KRAVITZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
6515 PULLMAN DR, LEWIS CENTER, OH 43035-7380
(614) 293-8315
(614) 293-6935
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-8315
(614) 293-6935

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.000643RX
OH
363A00000X
Physician Assistant
Primary
50000643
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000554395
ANTHEM/BCBS
OH
01
P0015864
RAILROAD MEDICARE
OH
Enumeration date
05/02/2006
Last updated
05/26/2026
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