Individual
EMILY D KRIECH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8607 E US HIGHWAY 36 STE 100, AVON, IN 46123-7960
(317) 208-3855
(317) 718-6612
Mailing address
8607 E US HIGHWAY 36 STE 100, AVON, IN 46123-7960
(317) 208-3855
(317) 718-6612
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001217A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300003667
—
IN
Enumeration date
05/19/2008
Last updated
11/17/2022
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