Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KRISTINE M WAKE, MD
ActiveDR. KRISTINE M WAKE, MD is a Pediatrics healthcare provider located in PARK CITY, Utah. NPI 1932216975 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · PARK CITY, UT
Registration Details
- NPI Number
- 1932216975
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 24, 2006 (19.928956874678 yrs)
- Last Updated
- Mar 7, 2023
- Licenses
-
41975 (WI)12807093-1205 (UT)
Practice Information
- Address
-
750 ROUND VALLEY DR STE 102PARK CITY, UT, 840607549Browse UT providers · Browse ZIP 84060
- Phone
- 4356550926
- Fax
- 4356493748
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- Pediatrics
Other Pediatrics Providers in PARK CITY, UT
| Name | Credential | NPI |
|---|---|---|
| DR. KATHY M OSTLER | MD | 1700869153 |
| DR. LENA SJOQUIST TERRY | MD | 1477536886 |
| DR. LESLIE WORTHEN WEBSTER | MD | 1821071242 |
| DR. MONICA M SCHAFFER | MD | 1093798407 |
| DR. ROBERT T WINN | M.D. | 1912951393 |
| EILEEN GALLAGHER | MD | 1285721175 |
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.