Individual
KRISTINE NORTHERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5118 SW SNOWY EGRET ST, LEES SUMMIT, MO 64082-4523
(816) 398-1491
Mailing address
5118 SW SNOWY EGRET ST, LEES SUMMIT, MO 64082-4523
(816) 398-1491
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
104773
MO
Other
Enumeration date
12/19/2014
Last updated
05/09/2019
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