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General NPI Number Information
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NPI Number | 1023282225
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Entity Type | Individual
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Provider Name | KRISTI LEAH KILLINGSWORTH M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/17/2008
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 1224 SLIGH BLVD
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City | ORLANDO
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State | FL
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Zip | 32806-1108
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Country | US
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Telephone | 321-841-3581
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Fax | 321-841-4085
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Provider Business Mailing Address
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Address Line | 10000 W COLONIAL DR
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City | OCOEE
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State | FL
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Zip | 34761-3400
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Country | US
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Telephone | 321-843-1378
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Fax | 321-843-5177
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME107244
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License Number State | FL
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