Provider Demographics
NPI:1861008252
Name:HELMICK, KRISTIN (CASE MANAGER)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:
Last Name:HELMICK
Suffix:
Gender:F
Credentials:CASE MANAGER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3404 E 2ND ST APT A
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45403-1752
Mailing Address - Country:US
Mailing Address - Phone:419-513-1237
Mailing Address - Fax:
Practice Address - Street 1:3103 DIXIE HWY
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45015-1653
Practice Address - Country:US
Practice Address - Phone:513-893-8628
Practice Address - Fax:513-737-1107
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-21
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator