| Doctor Name: | MRS. KRISTIN C ROBERTSON |
| NPI Number: | 1003949587 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN FNP-C |
| License Number: | 139455 |
| Business Practice Address: | 805 Gulf St. Lamar, MO - 647591238 |
| Business Phone Number: | 4176825508 |
| Business Fax Number: | 4176825594 |
| Mailing Address: | 805 Gulf St., LAMAR |
| State: | MO |
| Postal Code: | 647591238 |
| Phone Number: | 4176825508 |
| Fax Number: | 4176825594 |
| NPI Enumeration Date: | 03/13/2007 |
| NPI Last Update Date: | 02/15/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LC0200X |
| License Number: | 139455 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Critical Care Medicine |
| Taxonomy Definition: | |