Individual
KRISTEN R BURKHOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
HWY 98 & NAVAJO ROUTE 16, SHONTO, AZ 86044-7397
(928) 672-3000
(928) 697-3005
Mailing address
PO BOX 368, KAYENTA, AZ 86033-0368
(928) 697-4000
(928) 697-4052
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
41592
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
981482
—
AZ
Enumeration date
10/17/2006
Last updated
12/23/2019
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