Individual
DR. KRISTA ENNIS HARLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1704 W STOCKTON ST, SUITE C, EDMONTON, KY 42129-8137
(270) 432-2212
(270) 432-2215
Mailing address
PO BOX 958, EDMONTON, KY 42129-0958
(270) 432-2212
(270) 432-2215
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5370
KY
Other
Enumeration date
11/29/2012
Last updated
07/15/2014
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