Danielson, Kristen S

Danielson, Kristen S is an individual health care provider with primary practice located at 501 6Th Ave S , St Petersburg FL 33701-4634. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Danielson, Kristen S can be contacted via phone (727) 767-4243.

Contact Information

Primary practice address
501 6Th Ave S St Petersburg FL 33701-4634
Phone: (727) 767-4243
Fax: (727) 767-8612
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME103377 Florida

Profile Details

NPI number 1417920414
LBN Legal business name Danielson, Kristen S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Mar 3rd, 2010 - about 15 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 1417920414 NPPES
Other 04039 BC/BS OF FLORIDA
MEDICAID 000455400 BC/BS OF FLORIDA

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