Kristi L Dively in Ephrata - Addiction Medicine
Kristi L Dively - NPI 1063447852
Kristi L Dively is a Addiction Medicine in Ephrata, Pennsylvania. Kristi L Dively practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Kristi L Dively is 1063447852. The last update date is 2022-11-30.
Kristi L Dively's current location address is 1170 S. State Street, Ephrata, Pennsylvania. You can contact this provider via phone number 7178598000 and fax number 7178596313. The mailing address for Kristi L Dively is 1170 S. State Street, Ephrata, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kristi L Dively |
|---|---|
| Address | 1170 S. State Street, Ephrata, Pennsylvania |
| Phone Number | 7178598000 |
| Fax Number | 7178596313 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1063447852 |
|---|---|
| Provider Enumeration Date | 2006-07-11 |
| Last Updated Date | 2022-11-30 |
Provider Mailing Address Detail
| Address | 1170 S. State Street |
|---|---|
| City | Ephrata |
| State | Pennsylvania (PA) |
| Post Code | 17522 |
| Phone Number | 7178598000 |
| Fax Number | 7178596313 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 207Qa0401X |
| Licence No | OS012313 |
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Definition: A family medicine physician who specializes in the diagnosis and treatment of addictions. |
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Post Comment/ Review Below
What is the unique identification code assigned to Kristi L Dively by the Centers for Medicare & Medicaid Services?
The Kristi L Dively has been issued the NPI (National Provider Identifier) 1063447852. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Kristi L Dively's facilities are geographically located?
The facilities of Kristi L Dively are physically situated at the following location: 1170 S. State Street, Ephrata, PA, 17522.
What is Kristi L Dively's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kristi L Dively is Addiction Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Qa0401X.
On what date did the Kristi L Dively receive the assignment of its 1063447852 from the Centers for Medicare & Medicaid Services?
The Kristi L Dively was issued its 1063447852 by the Centers for Medicare & Medicaid Services on 2006-07-11.
As of what date were the details pertaining to Kristi L Dively last refreshed?
The information related to the Kristi L Dively, including its address, specialty, and other relevant details, was last updated on 2022-11-30.