Provider Demographics
NPI:1821845942
Name:HOWELL, KRISTAL ANN (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:KRISTAL
Middle Name:ANN
Last Name:HOWELL
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1814 MARECO PL E
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43207-1547
Mailing Address - Country:US
Mailing Address - Phone:740-683-5544
Mailing Address - Fax:
Practice Address - Street 1:959 E JOHNSTOWN RD
Practice Address - Street 2:
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-1851
Practice Address - Country:US
Practice Address - Phone:614-636-4609
Practice Address - Fax:614-881-1065
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-06
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHF03240742207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine