Provider Demographics
NPI:1225858772
Name:KAESTHETICS
Entity type:Organization
Organization Name:KAESTHETICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CRNP
Authorized Official - Prefix:
Authorized Official - First Name:KRYSTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:ALGIER
Authorized Official - Suffix:
Authorized Official - Credentials:NURSE PRACTITIONER
Authorized Official - Phone:410-829-2543
Mailing Address - Street 1:8661 BRENTON DR
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:MD
Mailing Address - Zip Code:21601-1216
Mailing Address - Country:US
Mailing Address - Phone:410-829-2543
Mailing Address - Fax:620-647-4530
Practice Address - Street 1:29509 CANVASBACK DR STE 207
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:MD
Practice Address - Zip Code:21601-7164
Practice Address - Country:US
Practice Address - Phone:410-829-2543
Practice Address - Fax:620-647-4530
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-10
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty