Provider Demographics
NPI:1891022679
Name:ARNOLD, KRISTEN AF (BS, PHARM D, CDE)
Entity Type:Individual
Prefix:DR
First Name:KRISTEN
Middle Name:AF
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:BS, PHARM D, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2190 DUTCH HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:NY
Mailing Address - Zip Code:14414-9709
Mailing Address - Country:US
Mailing Address - Phone:585-226-3543
Mailing Address - Fax:585-226-1334
Practice Address - Street 1:196 NORTH ST
Practice Address - Street 2:
Practice Address - City:GENEVA
Practice Address - State:NY
Practice Address - Zip Code:14456-9709
Practice Address - Country:US
Practice Address - Phone:585-747-2642
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-16
Last Update Date:2015-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0406781835P0018X
IL2142-0008174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No174H00000XOther Service ProvidersHealth Educator