Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KRISTOPHER VAUGHN PULLAM, MD
Active Sole ProprietorMR. KRISTOPHER VAUGHN PULLAM, MD is a Family Medicine healthcare provider located in FENTON, Missouri. NPI 1679067276 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · FENTON, MO
Registration Details
- NPI Number
- 1679067276
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 18, 2018 (8.1677816881524 yrs)
- Last Updated
- Jun 8, 2021
- License
-
2021019546 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1203 SMIZER MILL RD STE 105FENTON, MO, 630263483Browse MO providers · Browse ZIP 63026
- Phone
- 6367171350
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in FENTON, MO
| Name | Credential | NPI |
|---|---|---|
| DR. JUSTIN E. HUGO | M.D. | 1104826098 |
| DR. JOHN MARTIN CROWE JR. | M.D. | 1093709057 |
| MR. CHRISTOPHER PAUL FRIESEN | DO | 1124001052 |
| DR. SEQUITA M MORRIS | MD | 1467414268 |
| DR. MELISSA K STEIN | DO | 1962447599 |
| MARK D RICKMEYER | D.O. | 1578509337 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.