Provider Demographics
NPI:1467843862
Name:SEYFRIED, KRISTINA
Entity type:Individual
Prefix:MS
First Name:KRISTINA
Middle Name:
Last Name:SEYFRIED
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 1:6150 GLENWAY AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45211-6319
Mailing Address - Country:US
Mailing Address - Phone:513-719-1077
Mailing Address - Fax:513-719-1087
Practice Address - Street 1:6150 GLENWAY AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45211-6319
Practice Address - Country:US
Practice Address - Phone:513-719-1077
Practice Address - Fax:513-719-1087
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-07
Last Update Date:2015-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician