Provider Demographics
NPI:1275907636
Name:SINGLER, KIRSTEN (NMD)
Entity Type:Individual
Prefix:
First Name:KIRSTEN
Middle Name:
Last Name:SINGLER
Suffix:
Gender:F
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18800 MAIN ST STE 106
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92648-1717
Mailing Address - Country:US
Mailing Address - Phone:714-375-1441
Mailing Address - Fax:
Practice Address - Street 1:18800 MAIN ST STE 106
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92648-1717
Practice Address - Country:US
Practice Address - Phone:714-375-1441
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-23
Last Update Date:2020-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND965175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath