Provider Demographics
NPI:1689986119
Name:DRYG, MARY KRISTIN (OWNER-KD DIAGNOSTICS)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:KRISTIN
Last Name:DRYG
Suffix:
Gender:F
Credentials:OWNER-KD DIAGNOSTICS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8916 S. WATER TOWER RD.
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:TX
Mailing Address - Zip Code:76179
Mailing Address - Country:US
Mailing Address - Phone:817-312-9162
Mailing Address - Fax:817-236-8601
Practice Address - Street 1:8916 S. WATER TOWER RD.
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:TX
Practice Address - Zip Code:76179
Practice Address - Country:US
Practice Address - Phone:817-312-9162
Practice Address - Fax:817-236-8601
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-13
Last Update Date:2010-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other