Provider Demographics
NPI:1396282844
Name:WILTON, KRISTIN (DC)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:
Last Name:WILTON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:84 HAYES RD
Mailing Address - Street 2:
Mailing Address - City:LACONIA
Mailing Address - State:NH
Mailing Address - Zip Code:03246-1809
Mailing Address - Country:US
Mailing Address - Phone:603-965-3642
Mailing Address - Fax:
Practice Address - Street 1:84 HAYES RD
Practice Address - Street 2:
Practice Address - City:LACONIA
Practice Address - State:NH
Practice Address - Zip Code:03246-1809
Practice Address - Country:US
Practice Address - Phone:603-366-7337
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-23
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1001111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor