IndividualActive
Krystal Clark
NPI 1609385566 · Nuclear Medicine Physician · Maineville, OH
Provider details
- NPI number
- 1609385566
- Entity type
- Individual
- Primary specialty
- Nuclear Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- 560296 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
6960 Erie Dr
Maineville, OH 45039-5105
Phone: (513) 240-2892
Approximate (ZIP-level) locationGet directions
Mailing address
6960 Erie Dr
Maineville, OH 45039-5105
Registry dates
- Enumerated
- 2017-09-22
- Last updated
- 2017-09-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.