Gina Kristiansen

NPI 1851991947 · on the registry since 2020

Practice

Address: 2331 Hualapai Mountain Rd Ste C
Kingman, AZ 86401
Phone: (928) 565-6655
Fax: (928) 565-6578
Organisation at this address: Quail Ridge Medical Llc
Cook Family Practice Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 363LF0000X
363LF0000X
Also registered as: 363LW0102X
Licence states on file: AZ, TX
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-08-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona