Provider Demographics
NPI:1922568831
Name:KRISTINSDOTTIR, KRISTRUN (MD)
Entity Type:Individual
Prefix:
First Name:KRISTRUN
Middle Name:
Last Name:KRISTINSDOTTIR
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 1:9403 CROWN CREST BLVD STE 200INTEG
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80138-8882
Mailing Address - Country:US
Mailing Address - Phone:303-721-1670
Mailing Address - Fax:303-721-8117
Practice Address - Street 1:9403 CROWN CREST BLVD STE 200INTEG
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138-8882
Practice Address - Country:US
Practice Address - Phone:303-721-1670
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-25
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0071414207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology