Provider Demographics
NPI:1235909961
Name:KREMIN, TAYLOR
Entity Type:Individual
Prefix:MRS
First Name:TAYLOR
Middle Name:
Last Name:KREMIN
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 1:328 BELL HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:LATHAM
Mailing Address - State:OH
Mailing Address - Zip Code:45646-9715
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:328 BELL HOLLOW RD
Practice Address - Street 2:
Practice Address - City:LATHAM
Practice Address - State:OH
Practice Address - Zip Code:45646-9715
Practice Address - Country:US
Practice Address - Phone:740-648-9300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-03
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant