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Individual
DR. KRISTEN WEBER
Active
Individual
DR. KRISTEN WEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2399
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1600231
—
MA
01
—
351970
HARVARD PILGRIM HEALTHCAR
MA
01
—
5547065
CCN
MA
01
—
Y36898
BCBS OF MA
MA
Enumeration date
11/14/2005
Last updated
11/19/2012
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