Provider Demographics
NPI:1285065482
Name:BATALOGIANIS, KRISTEN KELLY
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:KELLY
Last Name:BATALOGIANIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:137 MARSH RD
Mailing Address - Street 2:
Mailing Address - City:PELHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03076-3353
Mailing Address - Country:US
Mailing Address - Phone:603-508-9864
Mailing Address - Fax:
Practice Address - Street 1:137 MARSH RD
Practice Address - Street 2:
Practice Address - City:PELHAM
Practice Address - State:NH
Practice Address - Zip Code:03076-3353
Practice Address - Country:US
Practice Address - Phone:603-508-9864
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-13
Last Update Date:2013-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program