Provider Demographics
NPI:1407613904
Name:TAYLOR, KRISTINA (DC)
Entity Type:Individual
Prefix:DR
First Name:KRISTINA
Middle Name:
Last Name:TAYLOR
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 1:8 KING JAMES DR
Mailing Address - Street 2:
Mailing Address - City:EAST LYME
Mailing Address - State:CT
Mailing Address - Zip Code:06333-1016
Mailing Address - Country:US
Mailing Address - Phone:860-405-4589
Mailing Address - Fax:
Practice Address - Street 1:20 S ANGUILLA RD STE 4
Practice Address - Street 2:
Practice Address - City:PAWCATUCK
Practice Address - State:CT
Practice Address - Zip Code:06379-1448
Practice Address - Country:US
Practice Address - Phone:860-599-2223
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-01
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT7.002317111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor