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Contact Information

KRISTA DUCKLO
1425 N FAIRFIELD RD STE 110
BEAVERCREEK, OH45432-2674
 Phone: 937-426-0106
 Fax: 937-426-7153
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KRISTA DUCKLO · (Female)

NPI Number 1578202487
Status Active
Credentials
Entity Individual
Enumeration date 05/31/2022
Last updated 10/12/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • OH License # APRN.CNP.0030823
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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