Six, Kristy R
Six, Kristy R is an individual health care provider with primary practice located at 400 Sw Bluff Dr Ste 220 , Bend OR 97702-1697. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Six, Kristy R can be contacted via phone (541) 728-0858.Contact Information
Primary practice address
400 Sw Bluff Dr Ste 220
Bend OR 97702-1697
Phone: (541) 728-0858
Fax: (541) 728-0704
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | DP125967 | Oregon |
Profile Details
| NPI number | 1699928168 |
|---|---|
| LBN Legal business name | Six, Kristy R |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 28th, 2008 |
| Last updated | Mar 17th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699928168 | NPPES |
| Oregon | MEDICAID | 500616912 |
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