Provider Demographics
NPI:1124070172
Name:HAHN-COVER, KRISTIN E (MD)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:E
Last Name:HAHN-COVER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 843966
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64184-3966
Mailing Address - Country:US
Mailing Address - Phone:573-884-3300
Mailing Address - Fax:573-884-0943
Practice Address - Street 1:1 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65212-0001
Practice Address - Country:US
Practice Address - Phone:573-884-9066
Practice Address - Fax:573-884-3037
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2000165359207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO129474OtherBLUE SHIELD/BLUE CHOICE
KS2087075601OtherKANSAS MEDICAID
MO422211OtherUNITED HEALTHCARE
MO440346OtherHEALTHLINK
MO205095805Medicaid
MOP00419282Medicare PIN
KS2087075601OtherKANSAS MEDICAID
MO110210516Medicare PIN
MO422211OtherUNITED HEALTHCARE
MO129474OtherBLUE SHIELD/BLUE CHOICE