Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207PP0204X | Pediatric Emergency Physician | A147924 | CA |
Y | 207PP0204X | Pediatric Emergency Physician | ME127313 | FL |
N | 208000000X | Pediatrician | ME127313 | FL |
NPI | 1245572965 |
---|---|
Provider Name | Krysten Allana Chin |
First Address | St Petersburg, FL 33701-4634 |
Second Address | St Petersburg, FL 33701-4634 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2013 |
Last Update Date | 18/01/2022 |