Individual
MRS. KRISTINA RENAE TRUNNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6550 MERCANTILE DR E STE 203, FREDERICK, MD 21703-7657
(240) 422-8859
(240) 422-8862
Mailing address
5310 HARVEST HILL RD STE 290, DALLAS, TX 75230-5826
(214) 420-0650
(903) 939-0755
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C03102
MD
Other
Enumeration date
04/12/2007
Last updated
10/12/2023
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