Provider Demographics
NPI:1871911826
Name:WAITE, KRISTY (DO)
Entity type:Individual
Prefix:
First Name:KRISTY
Middle Name:
Last Name:WAITE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 N SUMMIT ST
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44308-1948
Mailing Address - Country:US
Mailing Address - Phone:330-643-2101
Mailing Address - Fax:330-643-2100
Practice Address - Street 1:85 N SUMMIT ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44308-1948
Practice Address - Country:US
Practice Address - Phone:330-643-2101
Practice Address - Fax:330-643-2100
Is Sole Proprietor?:No
Enumeration Date:2014-04-06
Last Update Date:2020-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34.013755207ZF0201X, 207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZF0201XAllopathic & Osteopathic PhysiciansPathologyForensic Pathology
No207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology