Amlong, Kristen

Amlong, Kristen is an individual health care provider with primary practice located at 6606 Lbj Fwy Suite 200, Dallas TX 75240. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Amlong, Kristen can be contacted via phone (972) 715-5000.

Contact Information

Primary practice address
6606 Lbj Fwy Suite 200 Dallas TX 75240
Phone: (972) 715-5000
Fax: (972) 715-9976
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 726889 Texas

Profile Details

NPI number 1225240799
LBN Legal business name Amlong, Kristen
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2007
Last updated Sep 18th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225240799 NPPES
Texas Other 8707UG BCBS
Texas MEDICAID 191715502 BCBS

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