Provider Demographics
NPI:1043537129
Name:TAYLOR, KRISTEN M (LAC, LMT)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:M
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:LAC, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:615 E 82ND AVE
Mailing Address - Street 2:SUITE 302
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99518-3153
Mailing Address - Country:US
Mailing Address - Phone:907-245-7669
Mailing Address - Fax:907-245-7670
Practice Address - Street 1:615 E 82ND AVE
Practice Address - Street 2:SUITE 302
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99518-3153
Practice Address - Country:US
Practice Address - Phone:907-245-7669
Practice Address - Fax:907-245-7670
Is Sole Proprietor?:No
Enumeration Date:2010-04-28
Last Update Date:2010-04-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AK131171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist