Individual
KARI CRISTINE KINKEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
12222 MERIT DR STE 600, DALLAS, TX 75251-3294
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
28178682A
IN
367500000X
Certified Registered Nurse Anesthetist
Primary
AP138529
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001110574
ANTHEM PROVIDER NUMBER
IN
05
—
300006583
—
IN
Enumeration date
06/19/2017
Last updated
12/15/2022
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