Kristen Anne Theobald-Hazel, DO
Pediatrics in Osage Beach, MO. Individual provider (NPI-1).
NPI number1932201837
StatusActive
Last updated in NPPESSep 2, 2021
Details
- NPI
- 1932201837
- Entity type
- Individual (NPI-1)
- Name
- Kristen Anne Theobald-Hazel
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 1, 2006
- Certification date
- Sep 2, 2021
- Last updated
- Sep 2, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 2009001633 | MO | Yes |
Practice location
1057 Medical Park DrOsage Beach, MO 65065-3000
Phone 573-302-3100 · Fax 573-348-8279
Mailing address
54 Hospital DrOsage Beach, MO 65065-3050
Phone 573-302-3100 · Fax 573-348-8279
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Other Pediatrics Physician providers in Osage Beach, MO
- Maria E. Bernabe, M.D.NPI 1235138330
- Whitney L. Cline, DONPI 1275670101
- Kimber Guinn, DONPI 1962853986
- Geetha G. Herath, MDNPI 1730104183
- Trent K Russell, M.D.NPI 1134115744
All 6 Pediatrics Physician providers in Osage Beach · All 484 providers in Osage Beach
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