Provider Demographics
NPI:1164428108
Name:HARKINS, KRISTI LEE KAYLEE (CFNP)
Entity Type:Individual
Prefix:
First Name:KRISTI
Middle Name:LEE KAYLEE
Last Name:HARKINS
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:
Other - First Name:KRISTI
Other - Middle Name:LEE
Other - Last Name:VIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1026 CARR STREET
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:TX
Mailing Address - Zip Code:76645
Mailing Address - Country:US
Mailing Address - Phone:325-513-1694
Mailing Address - Fax:903-416-1701
Practice Address - Street 1:3126 W FM 120
Practice Address - Street 2:
Practice Address - City:DENISON
Practice Address - State:TX
Practice Address - Zip Code:75020-1249
Practice Address - Country:US
Practice Address - Phone:903-416-7544
Practice Address - Fax:903-416-7545
Is Sole Proprietor?:No
Enumeration Date:2005-06-23
Last Update Date:2019-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP113118363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXQ34180Medicare UPIN