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Individual

ANDREA R KRISTOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPT

Contact information

Practice address
7162 RENNER RD, SHAWNEE, KS 66217-9409
(913) 962-7770
(913) 962-7775
Mailing address
7162 RENNER RD, SHAWNEE, KS 66217-9409
(913) 962-7770
(913) 962-7775

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-03704
KS
225100000X
Physical Therapist
2007022727
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
38437012
BCBS
KS
Enumeration date
06/14/2007
Last updated
07/22/2008
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