Provider Demographics
NPI:1801546239
Name:CLAYTON, KRISTINA MANNING (DO)
Entity type:Individual
Prefix:DR
First Name:KRISTINA
Middle Name:MANNING
Last Name:CLAYTON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:MS
Other - First Name:KRISTINA
Other - Middle Name:MARIE
Other - Last Name:MANNING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:350 SPRINGVILLE STA
Mailing Address - Street 2:
Mailing Address - City:SPRINGVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35146-6163
Mailing Address - Country:US
Mailing Address - Phone:662-822-7849
Mailing Address - Fax:
Practice Address - Street 1:350 SPRINGVILLE STA
Practice Address - Street 2:
Practice Address - City:SPRINGVILLE
Practice Address - State:AL
Practice Address - Zip Code:35146-6163
Practice Address - Country:US
Practice Address - Phone:662-822-7849
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-28
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4239208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics