Provider Demographics
NPI:1699981977
Name:BEARDSLEY, KRISTINA REYNOLDS (MD)
Entity type:Individual
Prefix:DR
First Name:KRISTINA
Middle Name:REYNOLDS
Last Name:BEARDSLEY
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 1:2 MEDICAL PARK DR STE 1000
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-7780
Mailing Address - Country:US
Mailing Address - Phone:828-251-5326
Mailing Address - Fax:828-251-5954
Practice Address - Street 1:2 MEDICAL PARK DR STE 1000
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-7780
Practice Address - Country:US
Practice Address - Phone:828-254-5326
Practice Address - Fax:828-251-5954
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2025-01-06
Deactivation Date:2007-07-17
Deactivation Code:
Reactivation Date:2009-04-15
Provider Licenses
StateLicense IDTaxonomies
282NC2000X
NC2018-02701208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No282NC2000XHospitalsGeneral Acute Care HospitalChildren