Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kristine M Wake, MD

Individual provider Pediatrics Physician · NPI 1932216975

Dr. Kristine M Wake, MD is a Pediatrics Physician in Park City, Utah. Licensed in Utah and Wisconsin. Registered with an NPI since 2006.

Licensed in
UT, WI
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

750 Round Valley Dr Ste 102
Park City, UT 84060-7549
Phone: (435) 655-0926
Fax: (435) 649-3748
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 12807093-1205 (UT)
Pediatrics Physician Taxonomy 208000000X · Licence 41975 (WI)

Record details

NPI number1932216975
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 24, 2006
Last updated in NPPESMarch 7, 2023
Certification dateAugust 3, 2022

Other providers in Park City