Provider Demographics
NPI:1073389581
Name:KROMER, CANDY
Entity Type:Individual
Prefix:
First Name:CANDY
Middle Name:
Last Name:KROMER
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 1:7392 COUNTY ROAD 67
Mailing Address - Street 2:
Mailing Address - City:GIBSONBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43431-9757
Mailing Address - Country:US
Mailing Address - Phone:567-482-1097
Mailing Address - Fax:
Practice Address - Street 1:7392 COUNTY ROAD 67
Practice Address - Street 2:
Practice Address - City:GIBSONBURG
Practice Address - State:OH
Practice Address - Zip Code:43431-9757
Practice Address - Country:US
Practice Address - Phone:567-482-1097
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-27
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker