Provider Demographics
NPI:1295211795
Name:LUNCEFORD, KRISTI MCKEEVER (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:KRISTI
Middle Name:MCKEEVER
Last Name:LUNCEFORD
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:701 ANN CT
Mailing Address - Street 2:
Mailing Address - City:GARDENDALE
Mailing Address - State:AL
Mailing Address - Zip Code:35071-2704
Mailing Address - Country:US
Mailing Address - Phone:205-790-1278
Mailing Address - Fax:
Practice Address - Street 1:2215 DECATUR HWY STE 101
Practice Address - Street 2:
Practice Address - City:GARDENDALE
Practice Address - State:AL
Practice Address - Zip Code:35071-2384
Practice Address - Country:US
Practice Address - Phone:205-608-8199
Practice Address - Fax:205-608-8195
Is Sole Proprietor?:No
Enumeration Date:2018-07-17
Last Update Date:2019-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-115288207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine