Individual
KRISTINA CORLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3536 MENDOCINO AVE STE 300B, SANTA ROSA, CA 95403-3634
(707) 237-3410
Mailing address
3536 MENDOCINO AVE STE 300B, SANTA ROSA, CA 95403-3634
(707) 237-3410
(833) 615-2399
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
016006033
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
1310
WI
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
6048
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E6048
CA
Other
Enumeration date
11/10/2019
Last updated
01/28/2026
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