Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Kristina Ann-Marie Detherage

Individual provider Case Manager/Care Coordinator · NPI 1407743883

Mrs. Kristina Ann-Marie Detherage is a Case Manager/Care Coordinator in Pickerington, Ohio. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025
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Practice location Address checks out

10400 Blacklick Eastern Rd
Pickerington, OH 43147-8235
Phone: (513) 720-3430
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1407743883
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 19, 2025
Last updated in NPPESJune 19, 2025
Certification dateJune 19, 2025

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