Kristen Renee Halford, PHARM D
Individual provider Active NPI Legal Medicine · Hayti, MO
NPI 1962650127 · NPPES record last updated Aug 29, 2008
Key facts
- NPI
- 1962650127
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Legal Medicine 173000000X
- License
- 2007022182 (MO)
- Practice address
- 308 E Main St
Hayti, MO 63851-1639 - Phone
- (573) 359-0008
- NPI assigned
- Aug 29, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2007022182 | MO | MD | Legal Medicine |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 173000000X | 2007022182 | MO | Yes |
Addresses
Primary practice location
308 E Main St
Hayti, MO 63851-1639
Mailing address
1400 Davis St
New Madrid, MO 63869-1616
Phone (573) 748-5165
Other providers in Hayti, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.