Provider Demographics
NPI:1306652516
Name:PRINGLE, KRISTIN S (MA, AA, PT, PT INSTR)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:S
Last Name:PRINGLE
Suffix:
Gender:F
Credentials:MA, AA, PT, PT INSTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:4565 NE 36TH AVE BLDG 1
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34479-2292
Mailing Address - Country:US
Mailing Address - Phone:352-421-9176
Mailing Address - Fax:352-421-5264
Practice Address - Street 1:4565 NE 36TH AVE BLDG 1
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34479-2292
Practice Address - Country:US
Practice Address - Phone:352-421-9176
Practice Address - Fax:352-421-5264
Is Sole Proprietor?:No
Enumeration Date:2024-12-04
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLINST4036625314246QL0900X, 246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy
No246QL0900XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyLaboratory Management