Robertson, Kristin C

Robertson, Kristin C is an sole proprietor health care provider with primary practice located at 805 Gulf St. , Lamar MO 64759-1238. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, which is considered as her primary health care specialty. Robertson, Kristin C can be contacted via phone (417) 682-5508.

Contact Information

Primary practice address
805 Gulf St. Lamar MO 64759-1238
Phone: (417) 682-5508
Fax: (417) 682-5594
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 363LC0200X 139455 Missouri

Profile Details

NPI number 1003949587
LBN Legal business name Robertson, Kristin C
Credentials RN FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 13th, 2007
Last updated Feb 15th, 2012 - about 13 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 1003949587 NPPES
Missouri MEDICAID 424028801
Missouri MEDICAID 200546830A
Missouri MEDICAID 200133580A

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