Provider Demographics
NPI:1902647654
Name:EPPLEY, KRISTINE
Entity type:Individual
Prefix:MRS
First Name:KRISTINE
Middle Name:
Last Name:EPPLEY
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 1:1290 BUCKEYE RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:CHESTERHILL
Mailing Address - State:OH
Mailing Address - Zip Code:43728-7503
Mailing Address - Country:US
Mailing Address - Phone:740-960-9400
Mailing Address - Fax:
Practice Address - Street 1:1290 BUCKEYE RIDGE RD
Practice Address - Street 2:
Practice Address - City:CHESTERHILL
Practice Address - State:OH
Practice Address - Zip Code:43728-7503
Practice Address - Country:US
Practice Address - Phone:740-960-9400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-05
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker