Provider Demographics
NPI:1386790905
Name:HARMON, KRISTIN A (MD)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:A
Last Name:HARMON
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:KRISTIN
Other - Middle Name:HARMON
Other - Last Name:MEJIA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:3947 OLD MILL RUN
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32312-1086
Mailing Address - Country:US
Mailing Address - Phone:850-661-3585
Mailing Address - Fax:
Practice Address - Street 1:2623 CENTENNIAL BLVD STE 204
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-0601
Practice Address - Country:US
Practice Address - Phone:850-702-5007
Practice Address - Fax:850-219-1059
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME106465207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL002126300Medicaid
FLDK727YMedicare PIN