Individual
KRISTINE M WILFONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5325 FARAON ST, SAINT JOSEPH, MO 64506-3488
(816) 271-6350
(816) 271-6753
Mailing address
5301 FARAON ST STE 120, SAINT JOSEPH, MO 64506-3512
(816) 271-1066
(816) 271-6786
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1130252
TX
367500000X
Certified Registered Nurse Anesthetist
4704217202
MI
367500000X
Certified Registered Nurse Anesthetist
4704217202
MO
Other
Enumeration date
11/06/2007
Last updated
02/09/2026
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