Provider Demographics
NPI:1194022350
Name:PERKINS, KRISTI ELLEN (MD)
Entity Type:Individual
Prefix:DR
First Name:KRISTI
Middle Name:ELLEN
Last Name:PERKINS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5138 HONEYSUCKLE BR
Mailing Address - Street 2:5138 HONEYSUCKLE
Mailing Address - City:BULVERDE
Mailing Address - State:TX
Mailing Address - Zip Code:78163-2272
Mailing Address - Country:US
Mailing Address - Phone:830-980-4676
Mailing Address - Fax:
Practice Address - Street 1:5138 HONEYSUCKLE BR
Practice Address - Street 2:5138 HONEYSUCKLE
Practice Address - City:BULVERDE
Practice Address - State:TX
Practice Address - Zip Code:78163-2272
Practice Address - Country:US
Practice Address - Phone:830-980-4676
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-23
Last Update Date:2011-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH2682208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics