Provider Demographics
NPI:1386770816
Name:SOLY, KRISTINE LOUISE (MD, FACC)
Entity type:Individual
Prefix:DR
First Name:KRISTINE
Middle Name:LOUISE
Last Name:SOLY
Suffix:
Gender:F
Credentials:MD, FACC
Other - Prefix:
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Mailing Address - Street 1:42 WHISTLER LN
Mailing Address - Street 2:
Mailing Address - City:YARMOUTH PORT
Mailing Address - State:MA
Mailing Address - Zip Code:02675-1437
Mailing Address - Country:US
Mailing Address - Phone:931-456-5900
Mailing Address - Fax:931-456-5916
Practice Address - Street 1:917 HILLCREST DR
Practice Address - Street 2:
Practice Address - City:CROSSVILLE
Practice Address - State:TN
Practice Address - Zip Code:38555-8713
Practice Address - Country:US
Practice Address - Phone:931-456-5900
Practice Address - Fax:931-456-5916
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2015-06-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA34981207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAC32433Medicare UPIN