Provider Demographics
NPI:1336377167
Name:POOLE, KRISTI FLORES (AUD)
Entity Type:Individual
Prefix:MRS
First Name:KRISTI
Middle Name:FLORES
Last Name:POOLE
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 1:387 COUNTY LINE RD W
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43082-6080
Mailing Address - Country:US
Mailing Address - Phone:614-891-9190
Mailing Address - Fax:614-839-9174
Practice Address - Street 1:387 COUNTY LINE RD W
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43082-6080
Practice Address - Country:US
Practice Address - Phone:614-891-9190
Practice Address - Fax:614-839-9174
Is Sole Proprietor?:No
Enumeration Date:2009-07-01
Last Update Date:2009-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA.01692231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist