Lewis, Kristen M

Lewis, Kristen M is an individual health care provider with primary practice located at 30 Harrison St Suite 250, Johnson City NY 13790. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Lewis, Kristen M can be contacted via phone (607) 770-8600.

Contact Information

Primary practice address
30 Harrison St Suite 250 Johnson City NY 13790
Phone: (607) 770-8600
Fax: (607) 770-0853
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X F332667 New York

Profile Details

NPI number 1467404152
LBN Legal business name Lewis, Kristen M
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jul 20th, 2016 - about 8 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 1467404152 NPPES
New York MEDICAID 01976214

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