Provider Demographics
NPI:1043017957
Name:TEPE, KRISTY
Entity type:Individual
Prefix:
First Name:KRISTY
Middle Name:
Last Name:TEPE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4790 STATE ROUTE 38 SW
Mailing Address - Street 2:
Mailing Address - City:LONDON
Mailing Address - State:OH
Mailing Address - Zip Code:43140-9689
Mailing Address - Country:US
Mailing Address - Phone:614-578-2451
Mailing Address - Fax:
Practice Address - Street 1:4790 STATE ROUTE 38 SW
Practice Address - Street 2:
Practice Address - City:LONDON
Practice Address - State:OH
Practice Address - Zip Code:43140-9689
Practice Address - Country:US
Practice Address - Phone:614-578-2451
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-27
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No372500000XNursing Service Related ProvidersChore Provider
No372600000XNursing Service Related ProvidersAdult Companion