Provider Demographics
NPI:1891508602
Name:DANIELS, KRYSTYNA
Entity type:Individual
Prefix:
First Name:KRYSTYNA
Middle Name:
Last Name:DANIELS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:760 RUE CENTER CT APT E
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45245-2517
Mailing Address - Country:US
Mailing Address - Phone:513-767-0323
Mailing Address - Fax:
Practice Address - Street 1:760 RUE CENTER CT APT E
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45245-2517
Practice Address - Country:US
Practice Address - Phone:513-767-0323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-28
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator