Provider Demographics
NPI:1760469662
Name:LOUIE, KRISTAL T (MS)
Entity Type:Individual
Prefix:
First Name:KRISTAL
Middle Name:T
Last Name:LOUIE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 28TH AVE WEST
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:BC
Mailing Address - Zip Code:V5Z4H4
Mailing Address - Country:CA
Mailing Address - Phone:604-875-3015
Mailing Address - Fax:
Practice Address - Street 1:950 28TH AVE WEST
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:BC
Practice Address - Zip Code:V5Z4H4
Practice Address - Country:CA
Practice Address - Phone:604-875-3015
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-30
Last Update Date:2014-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS