Provider Demographics
NPI:1245255355
Name:DAVID, KRISTA JEANNE (MD)
Entity type:Individual
Prefix:DR
First Name:KRISTA
Middle Name:JEANNE
Last Name:DAVID
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KRISTA
Other - Middle Name:JEANNE
Other - Last Name:DAVID-LANTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2735 COLONIAL DR STE A
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-4971
Mailing Address - Country:US
Mailing Address - Phone:406-204-2151
Mailing Address - Fax:406-204-2154
Practice Address - Street 1:2735 COLONIAL DR STE A
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-4971
Practice Address - Country:US
Practice Address - Phone:406-204-2151
Practice Address - Fax:406-204-2154
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT107522084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry