Ms Kristen Van De Carr, DC | |
8640 Haines Dr Ste A, Florence, KY 41042-6935 | |
(859) 240-3596 | |
(614) 401-2484 |
Full Name | Ms Kristen Van De Carr |
---|---|
Gender | Female |
Speciality | Chiropractor |
Location | 8640 Haines Dr Ste A, Florence, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447296512 | NPI | - | NPPES |
5632232 | Other | IL | BLUE CROSS ID # |
K25396 | Other | IL | MEDICARE ID # |
V08376 | Other | IL | NEW MEDICARE UPIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 251611 (Kentucky) | Primary |
Provider Name | Wellnessfirst Of Sullivan |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1427503580 PECOS PAC ID: 5395028427 Enrollment ID: O20170215000505 |
Mailing Address | Practice Location Address |
---|---|
Ms Kristen Van De Carr, DC 8640 Haines Dr Ste A, Florence, KY 41042-6935 Ph: (859) 620-1325 | Ms Kristen Van De Carr, DC 8640 Haines Dr Ste A, Florence, KY 41042-6935 Ph: (859) 240-3596 |
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