Provider Demographics
NPI:1740384528
Name:HIGHLAND, KRISTIN BAMBER (MD)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:BAMBER
Last Name:HIGHLAND
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 1:9500 EUCLID AVE - A90
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44195
Mailing Address - Country:US
Mailing Address - Phone:216-444-8335
Mailing Address - Fax:216-445-8160
Practice Address - Street 1:2049 E. 100TH STREET, FLOOR 11
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106
Practice Address - Country:US
Practice Address - Phone:216-445-5429
Practice Address - Fax:216-445-6024
Is Sole Proprietor?:No
Enumeration Date:2006-09-12
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.120583207RR0500X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology