Basic Information
| Provider Information | |||||||||
| NPI: | 1942672050 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NAVA | ||||||||
| FirstName: | KRISTEN | ||||||||
| MiddleName: | BAKER | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6319 BELGRAND DR | ||||||||
| Address2: | |||||||||
| City: | TALLAHASSEE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 323124515 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8504471391 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1155 5TH ST SE | ||||||||
| Address2: | |||||||||
| City: | CAIRO | ||||||||
| State: | GA | ||||||||
| PostalCode: | 398283162 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2292360831 | ||||||||
| FaxNumber: | 2292360871 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/28/2015 | ||||||||
| LastUpdateDate: | 03/26/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | TRN22415 | FL | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.