Individual
DR. KRISTIN ASHLEY VAN HEERTUM
Active
Individual
DR. KRISTIN ASHLEY VAN HEERTUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MT201230
PA
207VE0102X
Reproductive Endocrinology Physician
Primary
MD0000057900
TN
390200000X
Student in an Organized Health Care Education/Training Program
35-127847
OH
Other
Enumeration date
06/19/2012
Last updated
06/25/2019
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