Provider Demographics
NPI:1073941720
Name:BACHMAN, KRISTINE KAY (MS, CGC)
Entity Type:Individual
Prefix:
First Name:KRISTINE
Middle Name:KAY
Last Name:BACHMAN
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 N ACADEMY AVE
Mailing Address - Street 2:M.C. 27-00
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17822-9800
Mailing Address - Country:US
Mailing Address - Phone:570-214-2303
Mailing Address - Fax:570-214-6125
Practice Address - Street 1:100 N ACADEMY AVE
Practice Address - Street 2:M.C. 27-00
Practice Address - City:DANVILLE
Practice Address - State:PA
Practice Address - Zip Code:17822-9800
Practice Address - Country:US
Practice Address - Phone:570-214-2303
Practice Address - Fax:570-214-6125
Is Sole Proprietor?:No
Enumeration Date:2013-10-16
Last Update Date:2021-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS