Provider Demographics
NPI:1457996829
Name:KARCH, KRISTA (PHD)
Entity Type:Individual
Prefix:DR
First Name:KRISTA
Middle Name:
Last Name:KARCH
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 STANFORD HILL RD
Mailing Address - Street 2:
Mailing Address - City:ESSEX
Mailing Address - State:CT
Mailing Address - Zip Code:06426-1431
Mailing Address - Country:US
Mailing Address - Phone:860-662-0635
Mailing Address - Fax:
Practice Address - Street 1:32 STANFORD HILL RD
Practice Address - Street 2:
Practice Address - City:ESSEX
Practice Address - State:CT
Practice Address - Zip Code:06426-1431
Practice Address - Country:US
Practice Address - Phone:860-662-0635
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-09
Last Update Date:2019-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225500000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/Technologist