Individual
KRISTEN MARIE ROOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
420 S 5TH AVE, WEST READING, PA 19611-2143
(484) 628-8589
Mailing address
PO BOX 13579, READING, PA 19612-3579
(484) 628-1324
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
17848
NH
207L00000X
Anesthesiology Physician
Primary
MD469869
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031519
—
VT
05
—
3109667
—
NH
Enumeration date
04/19/2013
Last updated
12/29/2021
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