Kristine M Supple
Medical Specialty
Professional ID
- NPI: 1720157233
- PECOS ID: 0749295806
- Enrollment ID: I20060209000706
- Credential(MD, DO, DPM): PA
- Medical School:
- Medical School Graduation Year: 1994
Hospital Service
- Hospital CCN1: 050394
- Business Name (LBN)1: Community Memorial Hospital San Buenaventura
Medical Practices
- Organization Name: Community Memorial Health System
- Group Practice ID assigned by PECOS: 9537155676
- Number of Group Practice member: 118
Location
- Address1: 422 Arneill Rd B
- Address2:
- City: Camarillo
- State: California
- Zip Code: 93010
- Phone Number: (805)383-4510
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):