Provider Demographics
NPI:1609953264
Name:HILLIARD, KRISTEN DAINTON (DC)
Entity Type:Individual
Prefix:DR
First Name:KRISTEN
Middle Name:DAINTON
Last Name:HILLIARD
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 1:402 UNION ST.
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12305
Mailing Address - Country:US
Mailing Address - Phone:518-374-7555
Mailing Address - Fax:518-374-6898
Practice Address - Street 1:7987 ROUTE 9W
Practice Address - Street 2:
Practice Address - City:CATSKILL
Practice Address - State:NY
Practice Address - Zip Code:12414
Practice Address - Country:US
Practice Address - Phone:518-943-5685
Practice Address - Fax:518-966-5768
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2009-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX010454111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYC10454-9WOtherWORKERS COMPENSATION
NYC10454-9WOtherWORKERS COMPENSATION
NYU99429Medicare UPIN