Provider Demographics
NPI:1821269119
Name:HALL, KRISTIN A (RN, MSN, FNP-C)
Entity Type:Individual
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First Name:KRISTIN
Middle Name:A
Last Name:HALL
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Gender:F
Credentials:RN, MSN, FNP-C
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Other - First Name:
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Mailing Address - Street 1:12700 SOUTHFORK RD
Mailing Address - Street 2:STE 280
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63128-3201
Mailing Address - Country:US
Mailing Address - Phone:314-525-4990
Mailing Address - Fax:314-525-4926
Practice Address - Street 1:12700 SOUTHFORK RD
Practice Address - Street 2:STE. 280
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63128-3201
Practice Address - Country:US
Practice Address - Phone:314-525-4990
Practice Address - Fax:314-525-4926
Is Sole Proprietor?:No
Enumeration Date:2008-03-14
Last Update Date:2017-03-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO148719363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily