Provider Demographics
NPI:1851661441
Name:DEL MONTE, KRISTY LYNN (LMBT)
Entity Type:Individual
Prefix:MRS
First Name:KRISTY
Middle Name:LYNN
Last Name:DEL MONTE
Suffix:
Gender:F
Credentials:LMBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8120 DUNMORE DR.
Mailing Address - Street 2:APT. J
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-4404
Mailing Address - Country:US
Mailing Address - Phone:716-444-1947
Mailing Address - Fax:
Practice Address - Street 1:8120 DUNMORE DR
Practice Address - Street 2:APT. J
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-4403
Practice Address - Country:US
Practice Address - Phone:716-444-1947
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-12
Last Update Date:2012-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10444225700000X
NY21694225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist