Individual
DR. KRISTI KAY PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
520 MARY ST STE 520, EVANSVILLE, IN 47710-1682
(812) 424-8231
(812) 435-8784
Mailing address
520 MARY STREET, SUITE 520, EVANSVILLE, IN 47710-1682
(812) 424-8231
(812) 435-8784
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01066038A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000603755
ANTHEM BCBS
—
01
—
01066038
INDIANA STATE LICENSE
IN
01
—
036.177155
LICENSE
IL
05
—
200931320
—
IN
05
—
7100076400
—
KY
Enumeration date
07/27/2006
Last updated
09/18/2025
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