Willett, Kristen Leigh

Willett, Kristen Leigh is an individual health care provider with primary practice located at 1100 Northside Forsyth Dr Suite 340, Cumming GA 30041-6012. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is her primary health care specialty. Willett, Kristen Leigh can be contacted via phone (770) 886-8111.

Contact Information

Primary practice address
1100 Northside Forsyth Dr Suite 340 Cumming GA 30041-6012
Phone: (770) 886-8111
Fax: (770) 205-8539
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 054953 Georgia
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 054953 Georgia

Profile Details

NPI number 1891826848
LBN Legal business name Willett, Kristen Leigh
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2007
Last updated Jun 22nd, 2016 - about 9 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 1891826848 NPPES
Georgia MEDICAID 747640558C
Georgia MEDICAID 747640558B
Georgia MEDICAID 747640558A

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