Individual
DR. KRISTEN M WOOTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4320 WORNALL RD, MEDICAL PLAZA I, STE 336, KANSAS CITY, MO 64111-5941
(816) 932-6100
Mailing address
901 E. 104TH ST., MAILSTOP 400N, KANSAS CITY, MO 64111-9712
(816) 502-8756
(816) 932-9670
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
05-30216
KS
207V00000X
Obstetrics & Gynecology Physician
Primary
2000171368
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902988199
—
MO
Enumeration date
10/19/2006
Last updated
11/17/2017
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