Aubuchon, Kristin Blair

Aubuchon, Kristin Blair is an individual health care provider with primary practice located at 714 Gravois Rd , Fenton MO 63026-7723. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Aubuchon, Kristin Blair can be contacted via phone (636) 326-6100.

Contact Information

Primary practice address
714 Gravois Rd Fenton MO 63026-7723
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2017029177 Missouri

Profile Details

NPI number 1093231151
LBN Legal business name Aubuchon, Kristin Blair
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2017
Last updated Sep 28th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093231151 NPPES
Missouri MEDICAID 420046733

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