Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 34010587 | OH |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 34010587 | OH |
NPI | 1215114889 |
---|---|
Provider Name | Dr. Krista Irgens Migliore |
First Address | Hamilton, OH 45013-6381 |
Second Address | Hamilton, OH 45013-6384 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2008 |
Last Update Date | 13/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0067214 | (05) | OH |