Provider Demographics
NPI:1285658906
Name:MAULDIN, KRISTI M (DC)
Entity Type:Individual
Prefix:DR
First Name:KRISTI
Middle Name:M
Last Name:MAULDIN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:215 W US HIGHWAY 64
Mailing Address - Street 2:SUITE 1
Mailing Address - City:LEXINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27295-2567
Mailing Address - Country:US
Mailing Address - Phone:336-243-5433
Mailing Address - Fax:336-243-5435
Practice Address - Street 1:215 W US HIGHWAY 64
Practice Address - Street 2:SUITE 1
Practice Address - City:LEXINGTON
Practice Address - State:NC
Practice Address - Zip Code:27295-2567
Practice Address - Country:US
Practice Address - Phone:336-243-5433
Practice Address - Fax:336-243-5435
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2767111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC890841WMedicaid
NC0841WOtherBCBS
NC890841WMedicaid