Provider Demographics
NPI:1073670485
Name:DOWNEY, KRISTY LEE ZINNES (DC)
Entity Type:Individual
Prefix:DR
First Name:KRISTY
Middle Name:LEE ZINNES
Last Name:DOWNEY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:186 BURRILL ST
Mailing Address - Street 2:
Mailing Address - City:SWAMPSCOTT
Mailing Address - State:MA
Mailing Address - Zip Code:01907-1835
Mailing Address - Country:US
Mailing Address - Phone:781-593-2388
Mailing Address - Fax:
Practice Address - Street 1:186 BURRILL ST
Practice Address - Street 2:
Practice Address - City:SWAMPSCOTT
Practice Address - State:MA
Practice Address - Zip Code:01907-1835
Practice Address - Country:US
Practice Address - Phone:781-593-2399
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2014-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC30386111N00000X
MA3431111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC30386OtherCALIFORNIA BOARD OF CHIROPRACTIC
MA3431OtherMASSACHUSETTS BOARD OF CHHIROPRACTIC