Provider Demographics
NPI:1497206940
Name:KAZANTZIS, CHRYSANTHI (ND, MS)
Entity Type:Individual
Prefix:DR
First Name:CHRYSANTHI
Middle Name:
Last Name:KAZANTZIS
Suffix:
Gender:F
Credentials:ND, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 RIVER OAK RD
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:RI
Mailing Address - Zip Code:02806-3915
Mailing Address - Country:US
Mailing Address - Phone:401-263-4005
Mailing Address - Fax:
Practice Address - Street 1:245 WATERMAN ST STE 308
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02906-5215
Practice Address - Country:US
Practice Address - Phone:401-484-1882
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-19
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIND00004175F00000X
CT5.000581175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath