Provider Demographics
NPI:1215127725
Name:DANIEL, KRISTIN JOY (MD)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:JOY
Last Name:DANIEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 20TH AVENUE N
Mailing Address - Street 2:SUITE 505
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203
Mailing Address - Country:US
Mailing Address - Phone:208-828-7572
Mailing Address - Fax:208-828-2439
Practice Address - Street 1:300 20TH AVENUE N
Practice Address - Street 2:SUITE 505
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203
Practice Address - Country:US
Practice Address - Phone:208-828-7572
Practice Address - Fax:208-828-2439
Is Sole Proprietor?:No
Enumeration Date:2007-07-31
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN44957207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology