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NPI Code Detail

MEDICARE: DR. KRYSTEN NICOLLE FLOYD MD

MEDICARE: DR. KRYSTEN NICOLLE FLOYD MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine PhysicianMT238187PA

General Provider Information

NPI Number : 1477487510
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KRYSTEN NICOLLE FLOYD MD
Provider Business Mailing Address
First Line : 1901 CALLOWHILL ST APT 728
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19130-4158
Country : US
Telephone Number : 772-539-1459
Fax Number :
Provider Business Practice Location Address
First Line : 2601 HOLME AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19152-2096
Country : US
Telephone Number : 215-300-4016
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2026
Last Update Date : 06/22/2026

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