Individual
MRS. KRISTINE ELIZABETH KJOLHEDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
904 LEXINGTON ST, FORT WORTH, TX 76102-3550
(817) 335-2666
Mailing address
6804 PETERS PATH, COLLEYVILLE, TX 76034-6668
(214) 693-5117
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
849501
TX
363L00000X
Nurse Practitioner
Primary
AP136050
TX
Other
Enumeration date
01/21/2018
Last updated
04/12/2018
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