Individual provider · NPI-1

Dr. Kristia P Abernathy, MD

Family Medicine · Saint Louis, MO

NPI number1710545405
StatusActive
Last updated in NPPESFeb 15, 2024

Details

NPI
1710545405
Entity type
Individual (NPI-1)
Name
Dr. Kristia P Abernathy
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
May 29, 2019
Certification date
Feb 15, 2024
Last updated
Feb 15, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine2022037015MOYes
207Q00000X Family Medicine125074342IL

Practice location

4414 N Florissant Ave
Saint Louis, MO 63107-1812

Phone 314-814-8700

Mailing address

Po Box 19670
Springfield, IL 62794-9670

Phone 217-545-8000 · Fax 217-757-8161

Other practice locations

520 N 4th St
Springfield, IL 62702-5238

Phone 217-545-8000 · Fax 217-757-8161

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