Individual
KRISTIN BAKER SPITZNAGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6645 PRINCETON GLENDALE RD, LIBERTY TWP, OH 45011-7547
(513) 829-2883
(513) 829-6346
Mailing address
2830 VICTORY PARKWAY, PAYOR ENROLLMENT, CINCINNATI, OH 45206-1785
(513) 585-5507
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.003438
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0067800
—
OH
Enumeration date
10/07/2011
Last updated
05/07/2020
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