Individual
KRISTIN L. KOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
850 HARRISON AVE, FL 4, YAWKEY BLDG, BOSTON, MA 02118
(617) 414-2000
(617) 414-5798
Mailing address
960 MASSACHUSETTS AVE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR20043600
NJ
367A00000X
Advanced Practice Midwife
25ME00070100
NJ
367A00000X
Advanced Practice Midwife
Primary
RN2362061
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110185546A
—
MA
Enumeration date
11/20/2019
Last updated
04/11/2024
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