Individual
KATHLEEN M CHRISTENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2083
NC
152W00000X
Optometrist
27TO00078600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1K5487
HEALTHNET
NJ
05
—
5251729
—
NJ
01
—
5789545
AETNA
NJ
Enumeration date
10/20/2006
Last updated
01/10/2022
Update your record
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