Individual
DR. KRISTYN PONCY MENENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1602 N 2ND ST, CLINTON, MO 64735-1192
(660) 885-8171
(660) 890-8722
Mailing address
1602 N 2ND ST, CLINTON, MO 64735-1192
(660) 885-8171
(660) 890-8722
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2007005534
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518995422
—
IA
05
—
205480007
—
MO
Enumeration date
06/29/2006
Last updated
02/11/2020
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