Provider Demographics
NPI:1093992018
Name:COX, KRISTIN (ND)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:
Last Name:COX
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:326 4TH ST
Mailing Address - Street 2:202
Mailing Address - City:JUNEAU
Mailing Address - State:AK
Mailing Address - Zip Code:99801-1146
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:326 4TH ST
Practice Address - Street 2:202
Practice Address - City:JUNEAU
Practice Address - State:AK
Practice Address - Zip Code:99801-1146
Practice Address - Country:US
Practice Address - Phone:907-523-2102
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-22
Last Update Date:2008-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK34175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath