Provider Demographics
NPI:1295181568
Name:CARTRIGHT, KRISTIN N (DC)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:N
Last Name:CARTRIGHT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 E 20TH ST
Mailing Address - Street 2:
Mailing Address - City:SCOTTSBLUFF
Mailing Address - State:NE
Mailing Address - Zip Code:69361-2000
Mailing Address - Country:US
Mailing Address - Phone:308-635-8190
Mailing Address - Fax:
Practice Address - Street 1:21 E 20TH ST
Practice Address - Street 2:
Practice Address - City:SCOTTSBLUFF
Practice Address - State:NE
Practice Address - Zip Code:69361-2000
Practice Address - Country:US
Practice Address - Phone:308-635-8190
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-05
Last Update Date:2016-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1896111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor