Provider Demographics
NPI:1396071338
Name:PATTON, KRISTEN ALLYN (DC)
Entity type:Individual
Prefix:DR
First Name:KRISTEN
Middle Name:ALLYN
Last Name:PATTON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1904 EASTWOOD RD
Mailing Address - Street 2:SUITE 309
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403
Mailing Address - Country:US
Mailing Address - Phone:910-509-0444
Mailing Address - Fax:910-509-0449
Practice Address - Street 1:1904 EASTWOOD RD
Practice Address - Street 2:SUITE 309
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403
Practice Address - Country:US
Practice Address - Phone:910-509-0444
Practice Address - Fax:910-509-0449
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-27
Last Update Date:2009-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3987111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor