Individual
KRISTIN MARIE HERTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2861 BROAD AVE, MEMPHIS, TN 38112-2903
(901) 842-3161
Mailing address
2595 CENTRAL AVE, MEMPHIS, TN 38104-5905
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2366
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/07/2010
Last updated
06/05/2020
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