Individual
KRISTEN OWEN KUSTERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
445 CLINIC DR, MOREHEAD, KY 40351-1077
(606) 783-6805
(606) 783-6869
Mailing address
445 CLINIC DR, MOREHEAD, KY 40351-1077
(606) 783-6805
(606) 783-6869
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
49247
KY
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
49247
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
240610
MEDICARE KY
KY
01
—
49247
STATE MEDICAL LICENSE
KY
05
—
7100268330
—
KY
Enumeration date
05/02/2012
Last updated
07/21/2022
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