Individual
KRISTIN EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATP
Contact information
Practice address
100 W ROSEDALE ST, FORT WORTH, TX 76104-4852
(888) 776-0556
(817) 338-4450
Mailing address
100 W ROSEDALE ST, FORT WORTH, TX 76104-4852
(888) 776-0556
(817) 338-4450
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
ATP12883
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
281021010
—
TX
Enumeration date
06/06/2011
Last updated
07/22/2013
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