Individual
MS. KRISTIN M FLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
325 S CEDAR AVE STE 2, SOUTH PITTSBURG, TN 37380-1322
(423) 837-5801
(423) 837-5807
Mailing address
325S CEDAR AVE 2, SOUTH PITTSBURG, TN 37380-1305
(423) 837-5801
(423) 837-5807
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN0000007816
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4104914
BCBS OF TENNESSEE
TN
01
—
P00297360
RAILROAD MEDICARE
TN
Enumeration date
06/14/2006
Last updated
01/25/2022
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