Provider Demographics
NPI:1902240617
Name:WARFIELD, KRISTA LYNN (MD)
Entity Type:Individual
Prefix:DR
First Name:KRISTA
Middle Name:LYNN
Last Name:WARFIELD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KRISTA
Other - Middle Name:LYNN
Other - Last Name:WEAVER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:77 MILLER RD STE 1
Mailing Address - Street 2:
Mailing Address - City:CASTLETON
Mailing Address - State:NY
Mailing Address - Zip Code:12033-4040
Mailing Address - Country:US
Mailing Address - Phone:518-477-8761
Mailing Address - Fax:518-477-2251
Practice Address - Street 1:77 MILLER RD STE 1
Practice Address - Street 2:
Practice Address - City:CASTLETON
Practice Address - State:NY
Practice Address - Zip Code:12033-4040
Practice Address - Country:US
Practice Address - Phone:518-477-8761
Practice Address - Fax:518-477-2251
Is Sole Proprietor?:No
Enumeration Date:2013-04-24
Last Update Date:2019-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY283195208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics