Individual
DR. CRISTYN WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5001 LAKE AVE, SAINT JOSEPH, SAINT JOSEPH, MO 64504-1170
(816) 238-7788
(816) 238-9285
Mailing address
5001 LAKE AVE, SAINT JOSEPH, SAINT JOSEPH, MO 64504-1170
(816) 238-7788
(816) 238-9285
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
04-33784
KS
207Q00000X
Family Medicine Physician
Primary
2009016625
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790942910
—
MO
05
—
200614390A
—
KS
Enumeration date
05/16/2008
Last updated
06/01/2010
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