Individual provider · Type 1 NPI
Kristy Lynn Hannon, DC
Chiropractor · Brockton, MA
NPI number
1790719862
Active
Practice location
365 Westgate Drive, Ste 3 & 4
Brockton, MA 02301
Fax (508) 583-0086
Mailing address
PO Box 517
Needham Heights, MA 02494
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 2818 (MA) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1790719862
Kristy Lynn Hannon, DC's National Provider Identifier is 1790719862, issued on Jul 11, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Brockton, MA. The record was last updated on Mar 26, 2013.