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General NPI Number Information
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NPI Number | 1538162797
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Entity Type | Individual
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Provider Name | KRISTIE L GAST M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/23/2005
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 1100 N KENTUCKY AVE
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City | WEST PLAINS
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State | MO
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Zip | 65775-2029
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Country | US
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Telephone | 417-256-9111
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 850
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City | PORT ANGELES
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State | WA
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Zip | 98362-0146
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Country | US
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Telephone | 360-683-9895
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Fax | 360-582-5614
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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 | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 2023041972
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | MD61473510
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | MD28920
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License Number State | ME
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Taxonomy #4
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 1017321
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License Number State | MA
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