Individual
KRISTEN COLLISTER
Active
Individual
KRISTEN COLLISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
TEP8298
NE
207W00000X
Ophthalmology Physician
Primary
34604
OK
Other
Enumeration date
06/30/2018
Last updated
05/10/2019
Update your record
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