Eastman, Kristin L

Eastman, Kristin L is an sole proprietor health care provider with primary practice located at 130 E Redoubt Ave , Soldotna AK 99669-8012. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Eastman, Kristin L can be contacted via phone (907) 398-3376.

Contact Information

Primary practice address
130 E Redoubt Ave Soldotna AK 99669-8012
Phone: (907) 398-3376
Fax: (907) 420-0435
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 109775 Alaska

Profile Details

NPI number 1255693578
LBN Legal business name Eastman, Kristin L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2012
Last updated Jul 26th, 2022 - about 3 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 1255693578 NPPES
Alaska MEDICAID 1653922

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