Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | 35.137214 | OH |
NPI | 1427445832 |
---|---|
Provider Name | Kristina Caine |
First Address | Bellefontaine, OH 43311-9488 |
Second Address | Bellefontaine, OH 43311-9488 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2015 |
Last Update Date | 10/12/2021 |