Healthcare Provider Details

I. General information

NPI: 1922568831
Provider Name (Legal Business Name): KRISTRUN KRISTINSDOTTIR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2019
Last Update Date: 07/21/2023
Certification Date: 07/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9403 CROWN CREST BLVD STE 200INTEG
PARKER CO
80138-8882
US

IV. Provider business mailing address

9403 CROWN CREST BLVD STE 200INTEG
PARKER CO
80138-8882
US

V. Phone/Fax

Practice location:
  • Phone: 303-721-1670
  • Fax:
Mailing address:
  • Phone: 303-721-1670
  • Fax: 303-721-8117

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberDR.0071414
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: