Individual
KRISTIN MICHELLE COMSTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1200 E COLUMBIA AVE, COLVILLE, WA 99114-3354
(509) 684-3701
(509) 984-5817
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(509) 684-3701
(509) 474-6606
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4861065
ID
207Q00000X
Family Medicine Physician
Primary
MD60900667
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528445368
—
ID
Enumeration date
04/30/2015
Last updated
08/20/2024
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