Kristine M Wake is a Pediatrics in Park City, Utah. Kristine M Wake practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Kristine M Wake is 1932216975. The last update date is 2023-03-07.
Kristine M Wake's current location address is 750 Round Valley Dr Ste 102, Park City, Utah. You can contact this provider via phone number 4356550926 and fax number 4356493748. The mailing address for Kristine M Wake is 750 Round Valley Dr Ste 102, Park City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kristine M Wake |
|---|---|
| Address | 750 Round Valley Dr Ste 102, Park City, Utah |
| Phone Number | 4356550926 |
| Fax Number | 4356493748 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1932216975 |
|---|---|
| Provider Enumeration Date | 2006-08-24 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 750 Round Valley Dr Ste 102 |
|---|---|
| City | Park City |
| State | Utah (UT) |
| Post Code | 840607549 |
| Phone Number | 4356550926 |
| Fax Number | 4356493748 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 41975 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1932216975 | WI | -- |
Post Comment/ Review Below
What is the Kristine M Wake's 1932216975?
The Kristine M Wake's NPI (National Provider Identifier) Number is 1932216975. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Kristine M Wake is geographically located?
The Kristine M Wake is physically situated at the following location: 750 Round Valley Dr Ste 102, Park City, UT, 840607549.
What is Kristine M Wake's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kristine M Wake's area of specialization is Pediatrics, and the corresponding taxonomy code that categorizes this field of practice is 208000000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1932216975 to Kristine M Wake?
The Kristine M Wake received its 1932216975 assignment from the Centers for Medicare & Medicaid Services on 2006-08-24.
When was the information related to Kristine M Wake most recently updated or refreshed?
The details pertaining to the Kristine M Wake, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-03-07.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY