Kristin M Bacon (NPI# 1679618144, PAC ID# 0547596025) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1679618144 |
| PAC ID by PECOS | 0547596025 |
| Professional Enrollment ID | I20190722000947 |
| Full Name | Kristin M Bacon |
| Address |
6406 S Gonder Rd Big Lake AK 99652 |
| Gender | F |
| Graduation Year | 1997 |
| Primary Specialty | PHYSICAL THERAPY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 6406 S Gonder Rd, Big Lake, AK 99652 |
| Street Address |
6406 S GONDER RD |
| City | BIG LAKE |
| State | AK |
| Zip | 99652 |
| City | BIG LAKE |
| Zip Code | 99652 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | BIG LAKE + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Kristin M Bacon.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.