Individual
KRISTIN BLAIR AUBUCHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
714 GRAVOIS RD, FENTON, MO 63026-7723
(636) 326-6100
Mailing address
714 GRAVOIS RD, STE 100, FENTON, MO 63026-7723
(636) 326-6100
(636) 326-6110
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2017029177
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420046733
—
MO
Enumeration date
08/20/2017
Last updated
09/28/2022
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