Individual
KELLY MARIE KREMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3333 BURNET AVE # MLC2015, CINCINNATI, OH 45229-3026
(513) 636-4222
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
01077138A
IN
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
35.126172
OH
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
55962
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201304070
—
IN
Enumeration date
07/27/2009
Last updated
02/02/2022
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