Kristen Ann Kaczanowski in Bridgeport - Chiropractor

Kristen Ann Kaczanowski - NPI 1104073220

Kristen Ann Kaczanowski is a Chiropractor in Bridgeport, Connecticut. Kristen Ann Kaczanowski practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Kristen Ann Kaczanowski is 1104073220. The last update date is 2008-08-20.

Kristen Ann Kaczanowski's current location address is 1115 Main Street, Bridgeport, Connecticut. You can contact this provider via phone number 2033357260 and fax number 2033352561. The mailing address for Kristen Ann Kaczanowski is 1115 Main Street, Bridgeport, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Kristen Ann Kaczanowski
Address 1115 Main Street, Bridgeport, Connecticut
Phone Number 2033357260
Fax Number 2033352561
Sole Proprietor Y
Credentials DC

NPI Number Detail

NPI Number 1104073220
Provider Enumeration Date 2008-08-20
Last Updated Date 2008-08-20

Provider Mailing Address Detail

Address 1115 Main Street
City Bridgeport
State Connecticut (CT)
Post Code 66044406
Phone Number 2033357260
Fax Number 2033352561

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 1076CT
Definition:
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
050001076CT03 CT BC/BS

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FAQs about Kristen Ann Kaczanowski

What is the Kristen Ann Kaczanowski's unique identification number?

The Kristen Ann Kaczanowski has been assigned the NPI (National Provider Identifier) Number 1104073220 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Kristen Ann Kaczanowski is geographically located?

The Kristen Ann Kaczanowski is physically situated at the following location: 1115 Main Street, Bridgeport, CT, 66044406.

What is the Kristen Ann Kaczanowski's area of specialization and corresponding taxonomy classification?

The Kristen Ann Kaczanowski's specialty field is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services assign the 1104073220 to Kristen Ann Kaczanowski?

The Centers for Medicare & Medicaid Services assigned the 1104073220 to Kristen Ann Kaczanowski on 2008-08-20.

As of what date was the information pertaining to Kristen Ann Kaczanowski, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Kristen Ann Kaczanowski, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-08-20.

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