Individual
KRISTINE MARIE HERFKENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3310 CROASDAILE DR STE 400, DURHAM, NC 27705-6806
(919) 384-9682
Mailing address
3310 CROASDAILE DR STE 400, DURHAM, NC 27705-6806
(919) 384-9682
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
2192
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0376X
BLUE CROSS BLUE SHIELD
NC
01
—
5648716
AETNA
NC
05
—
6000514
—
NC
Enumeration date
10/05/2006
Last updated
07/08/2007
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