MEDICARE: DR. KRISTINA LYNN POST O.D.

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
1	152W00000X	Optometrist	1691	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	651143	OTHER		BCBS KANSAS

General Provider Information

NPI Number	:	1053399774
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KRISTINA LYNN POST O.D.

Provider Business Mailing Address
First Line	:	2508 EDGEMONT DR
Second Line	:	SUITE #6
City	:	ARKANSAS CITY
State	:	KS
Zip	:	67005-3844
Country	:	US
Telephone Number	:	620-442-2577
Fax Number	:	620-442-2578

Provider Business Practice Location Address
First Line	:	2508 EDGEMONT DR
Second Line	:	SUITE 6
City	:	ARKANSAS CITY
State	:	KS
Zip	:	67005-3844
Country	:	US
Telephone Number	:	620-442-2577
Fax Number	:	620-442-2578

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/03/2006
Last Update Date	:	03/12/2009

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