Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | T03253 | MO |
NPI | 1003885278 |
---|---|
Provider Name | Dr. Kristin S. Mcmurry |
First Address | Alton, IL 62002-6220 |
Second Address | Saint Louis, MO 63128-2702 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/03/2006 |
Last Update Date | 02/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
114348 | EYEMED (01) | |
126614 | BLUE CHOICE (01) | |
126614 | BLUE CROSS BLUE SHIELD MO (01) | |
20303 | HEALTHCARE USA (01) | MO |
22-00028 | UNITED HEALTHCARE (01) | |
22917 | OPTICARE MED.COMPLETE (01) | |
314844408 | (05) | MO |
314844416 | (05) | MO |
5217-004 | DAVIS VISION (01) | |
682681 | HEALTHLINK (01) | |
P00403028 | RR MEDICARE (01) | MO |
RR 410048088 | RR MEDICARE (01) | IL |
U75446 | (02) | |
U75446 | MERCY HEALTH PLANS (01) | |
UNKNOWN | GROUP HEALTH PLAN (01) |