Basic Information
| Provider Information | |||||||||
| NPI: | 1659844710 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | OLDIGES | ||||||||
| FirstName: | KRISTEN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5400 EDALBERT DR | ||||||||
| Address2: | |||||||||
| City: | CINCINNATI | ||||||||
| State: | OH | ||||||||
| PostalCode: | 452397604 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5237413100 | ||||||||
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| Practice Location | |||||||||
| Address1: | 351 CENTRE VIEW BLVD | ||||||||
| Address2: | |||||||||
| City: | CRESTVIEW HILLS | ||||||||
| State: | KY | ||||||||
| PostalCode: | 410173477 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8597570717 | ||||||||
| FaxNumber: | 8593312425 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/10/2019 | ||||||||
| LastUpdateDate: | 09/15/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/15/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | C.1801037 | OH | N | Behavioral Health & Social Service Providers | Counselor | Mental Health | 101YM0800X | 273614 | KY | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.