Individual
DR. KRISTIN KAY ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
320 E MAIN ST, CROSBY, MN 56441-1645
(218) 546-8375
(218) 546-4400
Mailing address
320 E MAIN ST, CROSBY, MN 56441-1645
(218) 546-8375
(218) 546-4400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37113
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080163118
RAILROAD MEDICARE
MI
05
—
4257281
—
MI
Enumeration date
10/28/2005
Last updated
10/03/2012
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