Individual
DR. KRISTEN M PRESCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, IBCLC, FAAP
Contact information
Practice address
49 STATE RD STE 202, NORTH DARTMOUTH, MA 02747-3322
(508) 973-9240
(508) 973-0306
Mailing address
200 MILL RD, FAIRHAVEN, MA 02719-5252
(508) 973-2000
(508) 973-2001
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
12361
ND
208000000X
Pediatrics Physician
Primary
284305
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01YP02463NH02
ANTHEM
NH
05
—
17085
—
ND
05
—
30200835
—
NH
Enumeration date
05/25/2006
Last updated
10/18/2024
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