Edwards, Kristy D

Edwards, Kristy D is an individual health care provider with primary practice located at 3016 Vista Del Arroyo Dr , San Angelo TX 76904-6146. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Edwards, Kristy D can be contacted via phone (325) 658-1511.

Contact Information

Primary practice address
3016 Vista Del Arroyo Dr San Angelo TX 76904-6146
Fax: (325) 481-2166
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X TX5517 Texas

Profile Details

NPI number 1881642080
LBN Legal business name Edwards, Kristy D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated May 5th, 2017 - about 7 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 1881642080 NPPES
Texas MEDICAID 192383101

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