Provider Demographics
NPI:1568621498
Name:RYNES, KRISTINE M (AUD)
Entity Type:Individual
Prefix:
First Name:KRISTINE
Middle Name:M
Last Name:RYNES
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2708 CRAWFIS BLVD
Mailing Address - Street 2:
Mailing Address - City:FAIRLAWN
Mailing Address - State:OH
Mailing Address - Zip Code:44333-2850
Mailing Address - Country:US
Mailing Address - Phone:330-869-6673
Mailing Address - Fax:330-864-3270
Practice Address - Street 1:2708 CRAWFIS BLVD
Practice Address - Street 2:
Practice Address - City:FAIRLAWN
Practice Address - State:OH
Practice Address - Zip Code:44333-2850
Practice Address - Country:US
Practice Address - Phone:330-869-6673
Practice Address - Fax:330-864-3270
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-05
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA00804237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter