KRISTIN LANDIS POLSTON


Address: 2479 Panther Valley Rd, Pottsville, PA 17901-8700
Phone: 5703850577

KRISTIN LANDIS POLSTON (NPI# 1467728469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467728469
Entity Type Individual
Full Name KRISTIN LANDIS POLSTON
Credential RN, IBCLC
Practice Address 2479 Panther Valley Rd
Pottsville
PA 17901-8700
Practice Telephone 5703850577
Mailing Telephone 5703850577
Enumeration Date 2012-03-24
Last Update Date 2012-03-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WL0100X Registered Nurse
Specialization: Lactation Consultant
10893163 PA Nursing Service Providers

Office Location

Street Address 2479 PANTHER VALLEY RD
City POTTSVILLE
State PA
Zip Code 17901-8700

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1245647296 Maria Gustis Counselor 100 Greenbriar Road, Pottsville, PA 17901 2014-07-22
1790198398 Michelle Chilinskas Pharmacist 500 N Claude Lord Blvd, Pottsville, PA 17901 2014-06-11
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Taxonomy Information

Taxonomy Code 163WL0100X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Lactation Consultant

Taxonomy Definition

Definition to come...

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Competitor

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City POTTSVILLE
Zip Code 17901

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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