Provider Demographics
NPI:1326753203
Name:KRAYNEK, TAMI LOU
Entity Type:Individual
Prefix:
First Name:TAMI
Middle Name:LOU
Last Name:KRAYNEK
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 1:3250 CATTAIL RD
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-8473
Mailing Address - Country:US
Mailing Address - Phone:740-637-3090
Mailing Address - Fax:
Practice Address - Street 1:683 ANDERSON STATION RD
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601-9226
Practice Address - Country:US
Practice Address - Phone:740-253-1946
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-16
Last Update Date:2023-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant