KRISTIN J WALD

ST ANTHONY'S PHYSICIAN ORGANIZATION

Dr KRISTIN J WALD is a female medical professional, specializing in Nurse Practitioner. She graduated in 2002.

Contact

ST ANTHONY'S PHYSICIAN ORGANIZATION

10012 KENNERLY RD
SUITE 405
SAINT LOUIS
MO
631282197

Tel: 3145254880

KRISTIN J WALD Information

Npi 1871657981
Pac Id 5991861056
Professional Enrollment Id I20090226000071
Last Name WALD
First Name KRISTIN
Middle Name J
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2002
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name ST ANTHONY'S PHYSICIAN ORGANIZATION
Group Practice Pac Id 4880588938
Number Of Group Practice Members 103
Line 1 Street Address 10012 KENNERLY RD
Line 2 Street Address SUITE 405
Marker Of Address Line 2 Suppression
City SAINT LOUIS
State MO
Zip Code 631282197
Phone Number 3145254880
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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