Provider Demographics
NPI:1053399774
Name:POST, KRISTINA LYNN (OD)
Entity type:Individual
Prefix:DR
First Name:KRISTINA
Middle Name:LYNN
Last Name:POST
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:KRISTINA
Other - Middle Name:L
Other - Last Name:NELLIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:2508 EDGEMONT DR
Mailing Address - Street 2:SUITE #6
Mailing Address - City:ARKANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:67005-3844
Mailing Address - Country:US
Mailing Address - Phone:620-442-2577
Mailing Address - Fax:620-442-2578
Practice Address - Street 1:2508 EDGEMONT DR
Practice Address - Street 2:SUITE 6
Practice Address - City:ARKANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:67005-3844
Practice Address - Country:US
Practice Address - Phone:620-442-2577
Practice Address - Fax:620-442-2578
Is Sole Proprietor?:No
Enumeration Date:2006-01-03
Last Update Date:2009-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1691152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
651143OtherBCBS KANSAS
651143OtherBCBS KANSAS