Provider Demographics
NPI:1457531105
Name:KREFT, CARLA YVETTE (ND, LAC, MSOM)
Entity type:Individual
Prefix:DR
First Name:CARLA
Middle Name:YVETTE
Last Name:KREFT
Suffix:
Gender:F
Credentials:ND, LAC, MSOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3000 CONNECTICUT AVE NW STE 336
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20008-2550
Mailing Address - Country:US
Mailing Address - Phone:202-701-7212
Mailing Address - Fax:
Practice Address - Street 1:3000 CONNECTICUT AVE NW STE 336
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20008-2550
Practice Address - Country:US
Practice Address - Phone:202-701-7212
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-10
Last Update Date:2020-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCAC500061171100000X
NY004031171100000X
DCNP-0011175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171100000XOther Service ProvidersAcupuncturist