Individual
KRIS CONDE
Active
Individual
KRIS CONDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
C1-0005139
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000812201
—
DE
01
—
300086699
RAILROAD MEDICARE #
—
Enumeration date
03/21/2006
Last updated
02/07/2013
Update your record
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