Childress, Kristen M

Childress, Kristen M is an individual health care provider with primary practice located at 2431 Anderson Ave , Port Orchard WA 98366-1302. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Childress, Kristen M can be contacted via phone (360) 710-3319.

Contact Information

Primary practice address
2431 Anderson Ave Port Orchard WA 98366-1302
Fax: (360) 876-0878
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN00138087 Washington
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP30006700 Washington

Profile Details

NPI number 1003952870
LBN Legal business name Childress, Kristen M
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Feb 10th, 2014 - 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 1003952870 NPPES
Washington Other 0225388 STATE L & I
Washington Other 0258710 STATE L & I

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