Provider Demographics
NPI:1326142696
Name:SEXTON-COX, KRISTA LYNN (DO)
Entity Type:Individual
Prefix:DR
First Name:KRISTA
Middle Name:LYNN
Last Name:SEXTON-COX
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1043 N 1000 W
Mailing Address - Street 2:
Mailing Address - City:LINTON
Mailing Address - State:IN
Mailing Address - Zip Code:47441-5281
Mailing Address - Country:US
Mailing Address - Phone:812-847-4481
Mailing Address - Fax:812-847-0006
Practice Address - Street 1:1043 N 1000 W
Practice Address - Street 2:
Practice Address - City:LINTON
Practice Address - State:IN
Practice Address - Zip Code:47441-5281
Practice Address - Country:US
Practice Address - Phone:812-847-4481
Practice Address - Fax:812-847-0006
Is Sole Proprietor?:No
Enumeration Date:2006-09-08
Last Update Date:2013-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN02001987207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200317180AMedicaid
IN200153250AMedicaid
IN200243130OtherMEDICAID RENDERING
200889400OtherMEDICAID RURAL HEALTH-GROUP
IN171520BMedicare ID - Type Unspecified
IN200317180AMedicaid
ING77179Medicare UPIN
IN153886Medicare Oscar/Certification