Provider Demographics
NPI:1003180969
Name:KRISTEN L. BIGGS, MD, SKIN CARE & VEIN CENTRE, PC
Entity Type:Organization
Organization Name:KRISTEN L. BIGGS, MD, SKIN CARE & VEIN CENTRE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VASCULAR SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:BIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:505-695-7070
Mailing Address - Street 1:PO BOX 32568
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87594-2568
Mailing Address - Country:US
Mailing Address - Phone:505-695-7070
Mailing Address - Fax:505-695-7076
Practice Address - Street 1:409 SAINT MICHAELS DR
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-7603
Practice Address - Country:US
Practice Address - Phone:505-695-7070
Practice Address - Fax:505-695-7076
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-23
Last Update Date:2012-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMMD2008-05162086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty