Taddie, Kristie Lynn

Taddie, Kristie Lynn is an individual health care provider with primary practice located at 6021 142Nd Ave N , Clearwater FL 33760-2822. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Taddie, Kristie Lynn can be contacted via phone (727) 796-6900.

Contact Information

Primary practice address
6021 142Nd Ave N Clearwater FL 33760-2822
Phone: (727) 796-6900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 5901002145 Michigan
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO3265 Florida

Profile Details

NPI number 1861416547
LBN Legal business name Taddie, Kristie Lynn
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated May 21st, 2024 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1861416547 NPPES
Michigan Other 5901002145 PODIATRIC MEDICINE AND SURGERY
Michigan MEDICAID 340608300 PODIATRIC MEDICINE AND SURGERY
Michigan Other PO3265 PODIATRIC MEDICINE AND SURGERY

Popular Providers