Individual
MS. KRISTEN VAN DE CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
8640 HAINES DR STE A, FLORENCE, KY 41042-6935
(859) 240-3596
(614) 401-2484
Mailing address
8640 HAINES DR STE A, FLORENCE, KY 41042-6935
(859) 620-1325
(144) 012-4846
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
251611
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5632232
BLUE CROSS ID #
IL
01
—
K25396
MEDICARE ID #
IL
01
—
V08376
NEW MEDICARE UPIN
IL
Enumeration date
06/20/2006
Last updated
04/23/2024
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