Provider Demographics
NPI:1578599163
Name:BATTEN, KRISTINE W (MD)
Entity Type:Individual
Prefix:
First Name:KRISTINE
Middle Name:W
Last Name:BATTEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KRISTINE
Other - Middle Name:M
Other - Last Name:WITMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2855 MITCHELL DR
Mailing Address - Street 2:#223
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-1609
Mailing Address - Country:US
Mailing Address - Phone:925-975-5944
Mailing Address - Fax:925-975-5943
Practice Address - Street 1:106 LA CASA VIA
Practice Address - Street 2:#140
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-3086
Practice Address - Country:US
Practice Address - Phone:925-274-2860
Practice Address - Fax:925-932-4527
Is Sole Proprietor?:No
Enumeration Date:2006-06-24
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG40054207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAE88916Medicare UPIN