Female

Kristi D. Abbott M.D.

Pediatrics Physician in Mooresville, NC(View on Map)

Full Name

Kristi Deshannon Abbott M.D.

NPI Number

1457489973

NPI Type

Individual Provider

Gender

Female

Enumeration Date

02/28/2007

Specialties

(Taxonomies)

Code

208000000X
2080A0000X

Primary Taxonomy

Yes
No

Licenses

State

North Carolina

License Number

2009-00630

Contact
Information

Purpose

Mailing
Location

Address

136 GATEWAY BLVD STE A
136 GATEWAY BLVD STE A

City

Mooresville
Mooresville

State

NC
NC

Postal Code

28117-5608
28117-5608

Country

US
US

Telephone Number

(704) 799-2878
(704) 799-2878

Identifiers

Identifier

1457489973
NC1018
5912736

Identifier State

NC
SC
NC

Identifier Issuer

Unknown
Unknown
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/31/2015

Provider Address

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