| Doctor Name: | MRS. KRISTELL LYNN MICHAEL |
| NPI Number: | 1003004144 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CFNP |
| License Number: | 558669 |
| Business Practice Address: | 300 Twining St Bldg 760 Maxwell Afb, AL - 361126027 |
| Business Phone Number: | 3349535565 |
| Business Fax Number: | 3349538607 |
| Mailing Address: | 300 Twining St, Bldg 760 MAXWELL AFB |
| State: | AL |
| Postal Code: | 361126027 |
| Phone Number: | 3349535565 |
| Fax Number: | 3349538607 |
| NPI Enumeration Date: | 10/12/2007 |
| NPI Last Update Date: | 07/28/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 558669 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |