THE FOLLOWING INFORMATION WAS OBTAINED FROM THE PHYSICIAN REGISTER SECTION OF THE WEBSITE OF THE COLLEGE OF PHYSICIANS AND SURGEONS OF ONTARIO (WWW.CPSO.ON.CA) AS OF THE DATE AND TIME NOTED BELOW
27/04/25 05:30:12 AM

General Information

Former Name: No Former Name
Medical School: Northern Ontario School of Medicine, 2014
Gender: Woman
Languages Spoken: ENGLISH

Practice Information

Primary Business Location: Cornelia Court Family Medicine
91 Cornelia St W
Smiths Falls Ontario K7A 5L3
Business Email: No Information Available
Phone: 613-283-0710
Fax: 613-283-9730

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Family Medicine
Effective: 17 Jun 2016
College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Jun 17 2016
CERTIFYING BODY: College of Family Physicians of Canada

Hospital Privileges

HOSPITAL LOCATION
Perth and Smiths Falls District Hospital Smiths Falls Community Site Smiths Falls
HOSPITAL: Perth and Smiths Falls District Hospital Smiths Falls Community Site
LOCATION: Smiths Falls

Professional Corporation Information

Corporation Name: Church and Mireault Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 03 Jan 2017
Shareholders:
Dr. C. Mireault (CPSO#: 105930 ) Dr. K. Church (CPSO#: 103492 )
Business Address: 33 Drummond Street West
Perth Ontario K7H 2K1
(613) 267-1500
Business Address: 91 Cornelia Street West
Smiths Falls Ontario K7A 5L3
(613) 283-0710
Business Address: 60 Cornelia Street West
Smiths Falls Ontario K7A 2H9
(613) 283-2330

General Information

Former Name: No Former Name
Gender: Woman
Languages Spoken: ENGLISH
Medical School: Northern Ontario School of Medicine, 2014

Practice Information

Primary Business Location: Cornelia Court Family Medicine
91 Cornelia St W
Smiths Falls Ontario K7A 5L3
Business Email: No Information Available
Phone: 613-283-0710
Fax: 613-283-9730

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Family Medicine
Effective: 17 Jun 2016
College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Jun 17 2016
CERTIFYING BODY: College of Family Physicians of Canada

Hospital Privileges

HOSPITAL LOCATION
Perth and Smiths Falls District Hospital Smiths Falls Community Site Smiths Falls
HOSPITAL: Perth and Smiths Falls District Hospital Smiths Falls Community Site
LOCATION: Smiths Falls

Professional Corporation Information

Corporation Name: Church and Mireault Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 03 Jan 2017
Shareholders:
Dr. C. Mireault (CPSO#: 105930 ) Dr. K. Church (CPSO#: 103492 )
Business Address: 33 Drummond Street West
Perth Ontario K7H 2K1
(613) 267-1500
Business Address: 91 Cornelia Street West
Smiths Falls Ontario K7A 5L3
(613) 283-0710
Business Address: 60 Cornelia Street West
Smiths Falls Ontario K7A 2H9
(613) 283-2330

Practice Conditions

VIEW DETAILS chevron-down icon
(1) Dr. KRISTEN SIMONE CHURCH may practise only in the areas of medicine in which Dr. CHURCH is educated and experienced.
VIEW DETAILS chevron-down icon
(1) Dr. KRISTEN SIMONE CHURCH may practise only in the areas of medicine in which Dr. CHURCH is educated and experienced.

Current Tribunal Proceedings

No information available

Past Tribunal Proceedings

No information available

Current Tribunal Proceedings

No information available

Past Tribunal Proceedings

No information available

Training

Medical School: Northern Ontario School of Medicine, 2014

Registration History

DETAILS DATE
Transfer of class of registration to: Independent Practice Certificate Effective: 20 Jun 2016
First certificate of registration issued: Postgraduate Education Certificate Effective: 01 Jul 2014
DETAILS: Transfer of class of registration to: Independent Practice Certificate
Date: Effective: 20 Jun 2016

DETAILS: First certificate of registration issued: Postgraduate Education Certificate
Date: Effective: 01 Jul 2014