Doctor Name: | KRISTIN LENI DILLON |
NPI Number: | 1013321686 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-C, RN |
License Number: | AP125755 |
Business Practice Address: | 2510 E Main St Suite 102 Alice, TX - 783324187 |
Business Phone Number: | 3616644445 |
Business Fax Number: | 3646644449 |
Mailing Address: | 4318 Catfish Dr, CORPUS CHRISTI |
State: | TX |
Postal Code: | 784105238 |
Phone Number: | 9792555073 |
Fax Number: | |
NPI Enumeration Date: | 06/11/2014 |
NPI Last Update Date: | 06/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP125755 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |