Provider Demographics
NPI:1114333051
Name:ANCAR, KRISTIN (DC)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:
Last Name:ANCAR
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:KRISTIN
Other - Middle Name:ANCAR
Other - Last Name:GERDES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:4621 PINEDA ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70126-3550
Mailing Address - Country:US
Mailing Address - Phone:504-450-2898
Mailing Address - Fax:
Practice Address - Street 1:2850 MANHATTAN BLVD STE A
Practice Address - Street 2:
Practice Address - City:HARVEY
Practice Address - State:LA
Practice Address - Zip Code:70058-2911
Practice Address - Country:US
Practice Address - Phone:504-362-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-10
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1829111N00000X
TX12701111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor