Individual
DR. JOANN KRIVETZKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4256 FULTON DR NW, STE B, CANTON, OH 44718-2879
(330) 546-0751
(330) 956-5237
Mailing address
4256 FULTON DR NW, STE B, CANTON, OH 44718-2879
(330) 546-0751
(330) 956-5237
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
35072306K
OH
207VG0400X
Gynecology Physician
Primary
35-072306K
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790070191
GROUP NPI
—
05
—
2025098
—
OH
Enumeration date
08/05/2006
Last updated
05/24/2012
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