Provider Demographics
NPI:1972718377
Name:KROTZ, KRISTIN A (AUD)
Entity Type:Individual
Prefix:DR
First Name:KRISTIN
Middle Name:A
Last Name:KROTZ
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 1:3168 BRAVERTON ST STE 250
Mailing Address - Street 2:
Mailing Address - City:EDGEWATER
Mailing Address - State:MD
Mailing Address - Zip Code:21037-2682
Mailing Address - Country:US
Mailing Address - Phone:443-924-7320
Mailing Address - Fax:443-926-9986
Practice Address - Street 1:3168 BRAVERTON ST STE 250
Practice Address - Street 2:
Practice Address - City:EDGEWATER
Practice Address - State:MD
Practice Address - Zip Code:21037-2682
Practice Address - Country:US
Practice Address - Phone:443-924-7320
Practice Address - Fax:443-926-9986
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2020-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD00879237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter