Provider Demographics
NPI:1063404879
Name:LESTER, KRISTEEN DAVEY (DC)
Entity type:Individual
Prefix:
First Name:KRISTEEN
Middle Name:DAVEY
Last Name:LESTER
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 1:1701 N PALM CANYON DR
Mailing Address - Street 2:STE. 8
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92262-2923
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1701 N PALM CANYON DR
Practice Address - Street 2:STE. 8
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-2923
Practice Address - Country:US
Practice Address - Phone:760-327-3732
Practice Address - Fax:760-327-9852
Is Sole Proprietor?:No
Enumeration Date:2005-08-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11216111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic