Individual
KRISHNA FREYA CONSTANTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
(785) 239-7000
(630) 570-5779
Mailing address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
(785) 239-7000
(630) 570-5779
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101271404
VA
208D00000X
General Practice Physician
0101271404
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/22/2019
Last updated
07/28/2024
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