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Individual
KRISTIN ANTONY
Active
Individual
KRISTIN ANTONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2018028451
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
74647
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100098080A
—
KS
05
—
100098080C
—
KS
05
—
100337780C
—
KS
Enumeration date
07/14/2006
Last updated
08/25/2021
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