Provider Demographics
NPI:1235989369
Name:SCANTLIN, KRISTIN HILLARY
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:HILLARY
Last Name:SCANTLIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:391 E MOUNTAIN VIEW DR
Mailing Address - Street 2:
Mailing Address - City:ALLYN
Mailing Address - State:WA
Mailing Address - Zip Code:98524-8720
Mailing Address - Country:US
Mailing Address - Phone:360-463-0793
Mailing Address - Fax:
Practice Address - Street 1:17321 E STATE ROUTE 106
Practice Address - Street 2:
Practice Address - City:BELFAIR
Practice Address - State:WA
Practice Address - Zip Code:98528-8511
Practice Address - Country:US
Practice Address - Phone:360-463-0793
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-22
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management