Provider Demographics
NPI:1255903050
Name:SAEZ, KRISTIN LEANN (MCD, MCPD, CE)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:LEANN
Last Name:SAEZ
Suffix:
Gender:F
Credentials:MCD, MCPD, CE
Other - Prefix:
Other - First Name:POPPY
Other - Middle Name:
Other - Last Name:BOYD-SAEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MCD, MCPD, CE
Mailing Address - Street 1:310 OBERLIN RD # A11
Mailing Address - Street 2:
Mailing Address - City:ELYRIA
Mailing Address - State:OH
Mailing Address - Zip Code:44035-7757
Mailing Address - Country:US
Mailing Address - Phone:440-830-0104
Mailing Address - Fax:
Practice Address - Street 1:310 OBERLIN RD # A11
Practice Address - Street 2:
Practice Address - City:ELYRIA
Practice Address - State:OH
Practice Address - Zip Code:44035-7757
Practice Address - Country:US
Practice Address - Phone:440-830-0104
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-13
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator