Provider Demographics
NPI:1992981120
Name:AYERS, KRISTEN LYNN
Entity type:Individual
Prefix:MS
First Name:KRISTEN
Middle Name:LYNN
Last Name:AYERS
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 1:5580 NOTTINGHAM CT
Mailing Address - Street 2:APT 102
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126
Mailing Address - Country:US
Mailing Address - Phone:810-241-1057
Mailing Address - Fax:
Practice Address - Street 1:5580 NOTTINGHAM CT
Practice Address - Street 2:APT 102
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126
Practice Address - Country:US
Practice Address - Phone:810-241-1057
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-17
Last Update Date:2008-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program