Basic Information
Provider Information
NPI: 1427368141
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KROPP
FirstName: JULIA
MiddleName: M
NamePrefix:  
NameSuffix:  
Credential: PA-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: KLUDING
OtherFirstName: JULIA
OtherMiddleName: M
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: PA-C
OtherLastNameType: 1
Mailing Information
Address1: 75 REMIT DR # 1025
Address2:  
City: CHICAGO
State: IL
PostalCode: 606751025
CountryCode: US
TelephoneNumber: 8669165259
FaxNumber: 2319224030
Practice Location
Address1: 1025 CENTER ST
Address2:  
City: ASHLAND
State: OH
PostalCode: 448054011
CountryCode: US
TelephoneNumber: 8669165259
FaxNumber: 2319224030
Other Information
ProviderEnumerationDate: 10/15/2010
LastUpdateDate: 08/15/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X50003167OHN Allopathic & Osteopathic PhysiciansEmergency Medicine 
363A00000X50003167OHY Physician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant 

No ID Information.


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