Provider Demographics
NPI:1902918501
Name:PARKINSON, KRISTIN LEANN (MD)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:LEANN
Last Name:PARKINSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3201 S PROVIDENCE RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65203-3622
Mailing Address - Country:US
Mailing Address - Phone:573-447-7456
Mailing Address - Fax:573-447-7457
Practice Address - Street 1:3201 S PROVIDENCE RD
Practice Address - Street 2:SUITE 202
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65203-3622
Practice Address - Country:US
Practice Address - Phone:573-447-7456
Practice Address - Fax:573-447-7457
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2016-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20080185552084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry