Kristen Anne Theobald-hazel
DO | Pediatrics | Female
Kristen Anne Theobald-hazel, DO is a Osage Beach, Missouri based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Kristen Anne Theobald-hazel is
1057 Medical Park Dr, Osage Beach, Missouri - 65065-3000. She can be contacted on phone at
573-302-3100 and fax number 573-348-8279.
Kristen Anne Theobald-hazel is a sole proprietor of her business.
NPI number (Unique professional ID) for Kristen Anne Theobald-hazel is
1932201837 which was assigned by NPPES on 01 Sep, 2006 and it was last updated on 02 Sep, 2021.
Kristen Anne Theobald-hazel license number is
2009001633 for Pediatrics (208000000X) in Missouri.
Kristen Anne Theobald-hazel is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Kristen Anne Theobald-hazel basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Kristen Anne Theobald-hazel |
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| Credential : | DO |
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| Gender : | Female |
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Business Address:
Kristen Anne Theobald-hazel address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1057 Medical Park Dr
Osage Beach, MO, 65065-3000
United States |
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| Phone Number : | 573-302-3100 |
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| Fax Number : | 573-348-8279 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1932201837 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 01 Sep, 2006 |
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| Last Updated On : | 02 Sep, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kristen Anne Theobald-hazel are as mentioned. Primary taxonomy code for Kristen Anne Theobald-hazel, DO is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 2009001633 | MO |
Legacy Identifiers:
Other legacy medical identifiers of Kristen Anne Theobald-hazel such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1447229489 | MEDICAID | MO | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 54 Hospital Dr
Osage Beach, MO, 65065-3050
United States |
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| Phone Number : | 573-302-3100 |
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| Fax Number : | 573-348-8279 |
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Business Location:
Patients can refer following map for directions to
Kristen Anne Theobald-hazel practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.