Provider Demographics
NPI:1316116650
Name:AUTEN, KRISTOPHER N (DC)
Entity type:Individual
Prefix:DR
First Name:KRISTOPHER
Middle Name:N
Last Name:AUTEN
Suffix:
Gender:M
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:PO BOX 715
Mailing Address - Street 2:
Mailing Address - City:WHITNEY
Mailing Address - State:TX
Mailing Address - Zip Code:76692-0715
Mailing Address - Country:US
Mailing Address - Phone:254-694-1117
Mailing Address - Fax:
Practice Address - Street 1:213 S BOSQUE ST
Practice Address - Street 2:
Practice Address - City:WHITNEY
Practice Address - State:TX
Practice Address - Zip Code:76692-2700
Practice Address - Country:US
Practice Address - Phone:254-694-1117
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-20
Last Update Date:2008-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10837111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor