Provider Demographics
NPI:1427227628
Name:SNOW, KRISTEN J (AP, DOM)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:J
Last Name:SNOW
Suffix:
Gender:F
Credentials:AP, DOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:833 107TH AVE N
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34108-1860
Mailing Address - Country:US
Mailing Address - Phone:239-776-0857
Mailing Address - Fax:
Practice Address - Street 1:833 107TH AVE N
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34108-1860
Practice Address - Country:US
Practice Address - Phone:239-776-0857
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-21
Last Update Date:2011-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP2504171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist