Kristle J Small, is a
Counselor - Professional based in New Providence, Pennsylvania. Kristle J Small is licensed to practice in Pennsylvania (license number PC007077) and her current practice location is
105 Darlington Ct, New Providence, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(856) 979-9769.
NPI number for Kristle J Small is 1164858874 and her current mailing address is 105 Darlington Ct, New Providence, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164858874.
Healthcare Provider's Profile
Full Name | Kristle J Small |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 105 Darlington Ct, New Providence, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1164858874
- Provider Enumeration Date: 09/25/2013
- Last Update Date: 09/23/2022
Medical Identifiers
Medical identifiers for Kristle J Small such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164858874 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | PC007077 (Pennsylvania) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kristle J Small is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kristle J Small, 105 Darlington Ct, New Providence, PA 17560-9005 Ph: (856) 979-9769 | Kristle J Small, 105 Darlington Ct, New Providence, PA 17560-9005 Ph: (856) 979-9769 |
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