Individual
DR. KRISTY LYNN HANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
365 WESTGATE DRIVE, STE 3 & 4, BROCKTON, MA 02301
(508) 583-2121
(508) 583-0086
Mailing address
PO BOX 517, NEEDHAM HEIGHTS, MA 02494
(781) 559-8725
(781) 559-8774
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2818
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0034409
NEIGHBORHOOD HEALTH PLAN
—
01
—
1346436805
BMC
MA
05
—
1606611
—
MA
01
—
352595
HPHC
MA
01
—
5116697
AETNA
—
01
—
65033
CIGNA GROUP
—
01
—
650333
CIGNA IND
—
01
—
659628
ACN UNITED HEALTH CARE
—
01
—
Y36566
BCBS GROUP
MA
01
—
Y36954
BCBS IND PPO
MA
Enumeration date
07/11/2006
Last updated
03/26/2013
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