Provider Demographics
NPI:1609501170
Name:ADAMS, KRISTINA D (DC)
Entity type:Individual
Prefix:DR
First Name:KRISTINA
Middle Name:D
Last Name:ADAMS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:530 W FIR ST STE 1A
Mailing Address - Street 2:
Mailing Address - City:SEQUIM
Mailing Address - State:WA
Mailing Address - Zip Code:98382-3284
Mailing Address - Country:US
Mailing Address - Phone:360-681-2220
Mailing Address - Fax:
Practice Address - Street 1:530 W FIR ST STE 1A
Practice Address - Street 2:
Practice Address - City:SEQUIM
Practice Address - State:WA
Practice Address - Zip Code:98382-3284
Practice Address - Country:US
Practice Address - Phone:360-681-2220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-19
Last Update Date:2024-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH61327793111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor