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Individual

KRISTINE A ELLIOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
1720 HIGHWAY 59 S, THIEF RIVER FALLS, MN 56701-4331
(218) 681-4747
(218) 683-2595
Mailing address
1720 HIGHWAY 59 S, THIEF RIVER FALLS, MN 56701-4331
(218) 681-4747
(218) 683-2595

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
628
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1577856
AMERICA'S PPO/ARAZ #
MN
01
21609
NDBS #
MN
05
387817100
MN
01
54G51JO
MNBS #
MN
01
DA9020831
PREFERRED ONE #
MN
01
HP37471
HEALTHPARTNERS #
MN
01
U67848
UPIN #
MN
Enumeration date
05/24/2006
Last updated
01/18/2012
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