Individual provider · Type 1 NPI

Kristy A. Rattanavong I

Other Specialist/Technologist · Longwood, FL

NPI number 1982103149 Active

Practice location

450 Brentwood Club Cv
Longwood, FL 32750-3354

Specialties and licenses

TaxonomyCodeLicense
Other Specialist/Technologist Primary 246Z00000XNone listed

Other Specialist/Technologist: General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.

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About NPI 1982103149

Kristy A. Rattanavong I's National Provider Identifier is 1982103149, issued on Feb 2, 2018. The primary taxonomy on file is Other Specialist/Technologist (246Z00000X), and the practice location is in Longwood, FL. The record was last updated on Feb 2, 2018.