# KRISTIN L. KOO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1588200042
- **Gender:** F
- **Credential:** CNM

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 26NR20043600 | NJ | — |
| 367A00000X | Advanced Practice Midwife | 25ME00070100 | NJ | — |
| 367A00000X | Advanced Practice Midwife | RN2362061 | MA | Yes |

## Other

- **Enumeration date:** 11/20/2019
- **Last updated:** 04/11/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 110185546A | — | MA |