Individual
DR. KRISTINE HERRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1295 E 151ST ST, SUITE 7, OLATHE, KS 66062-3427
(913) 381-0622
(913) 254-1120
Mailing address
2790 CLAY EDWARDS DR, SUITE 410, N KANSAS CITY, MO 64116-3276
(816) 474-9353
(816) 474-3627
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
22649
KS
207RN0300X
Nephrology Physician
MDR4F10
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100114260B
—
KS
05
—
202661500
—
MO
Enumeration date
12/06/2006
Last updated
08/11/2010
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