Individual
DR. KRISTEN MARIE BASKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
185 WESLEY REED DR STE E, ATOKA, TN 38004-4955
(901) 840-3937
(901) 840-3395
Mailing address
185 WESLEY REED DR STE E, ATOKA, TN 38004-4955
(901) 840-3937
(901) 840-3395
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3449
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336904077
GROUP NPI
—
05
—
Q090656
—
TN
Enumeration date
06/04/2018
Last updated
06/05/2024
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