Kristina K Gustafson
MD | Pediatrics | Female
Kristina K Gustafson, MD is a Charleston, South Carolina based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Kristina K Gustafson is
171 Ashley Ave, Charleston, South Carolina - 29425-0001. She can be contacted on phone at
843-792-1414.
Kristina K Gustafson is a sole proprietor of her business.
NPI number (Unique professional ID) for Kristina K Gustafson is
1952419822 which was assigned by NPPES on 29 Aug, 2006 and it was last updated on 08 Jul, 2007.
Kristina K Gustafson license number is
24031 for Pediatrics (208000000X) in South Carolina.
Kristina K Gustafson 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:
Kristina K Gustafson basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Kristina K Gustafson |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Kristina K Gustafson 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 : | 171 Ashley Ave
Charleston, SC, 29425-0001
United States |
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| Phone Number : | 843-792-1414 |
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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 : | 1952419822 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 29 Aug, 2006 |
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| Last Updated On : | 08 Jul, 2007 |
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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 Kristina K Gustafson are as mentioned. Primary taxonomy code for Kristina K Gustafson, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 24031 | SC |
Legacy Identifiers:
Other legacy medical identifiers of Kristina K Gustafson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 240313 | MEDICAID | SC | |
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 : | Po Box 751461
Charlotte, NC, 28275-1461
United States |
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| Phone Number : | 843-792-1414 |
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Business Location:
Patients can refer following map for directions to
Kristina K Gustafson practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.