Provider Demographics
NPI:1558575464
Name:HAUENSTEIN, KRISTEN E (LAC)
Entity Type:Individual
Prefix:MS
First Name:KRISTEN
Middle Name:E
Last Name:HAUENSTEIN
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1971
Mailing Address - Street 2:
Mailing Address - City:BUELLTON
Mailing Address - State:CA
Mailing Address - Zip Code:93427-1971
Mailing Address - Country:US
Mailing Address - Phone:805-588-5879
Mailing Address - Fax:
Practice Address - Street 1:2030 VIBORG RD
Practice Address - Street 2:SUITE 203
Practice Address - City:SOLVANG
Practice Address - State:CA
Practice Address - Zip Code:93463-2220
Practice Address - Country:US
Practice Address - Phone:805-688-5524
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9075171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist