Provider Demographics
NPI:1629080403
Name:YONKER, KRISTIN F (MD)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:F
Last Name:YONKER
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:714 THIMBLE SHOALS BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606-2962
Mailing Address - Country:US
Mailing Address - Phone:757-595-9905
Mailing Address - Fax:757-595-5377
Practice Address - Street 1:714 THIMBLE SHOALS BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-2962
Practice Address - Country:US
Practice Address - Phone:757-595-9905
Practice Address - Fax:757-595-5377
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2010-02-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101237453207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA007577P90Medicare PIN