DR. KRISTEN ANN KACZANOWSKI (NPI# 1104073220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104073220 |
| Entity Type | Individual |
| Full Name | DR. KRISTEN ANN KACZANOWSKI |
| Credential | DC |
| Practice Address |
1115 Main Street Suite #412 Bridgeport CT 06604-4406 |
| Practice Telephone | 2033357260 |
| Practice Fax Number | 2033352561 |
| Mailing Telephone | 2033357260 |
| Mailing Fax Number | 2033352561 |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2008-08-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1076CT | CT | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | BC/BS | 050001076CT03 | 01 |
| Street Address |
1115 MAIN STREET SUITE #412 |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06604-4406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780163246 | Jill K Bebey | Pharmacist | 564 A Park Ave, Bridgeport, CT 06604 | 2018-08-07 |
| 1538663430 | Ryan Attar | Naturopath | 129 Columbia St, Bridgeport, CT 06604 | 2018-03-23 |
| 1487153375 | Fe Y Esperanza Home Care Services | Home Health | 2032 Main Street, Bridgeport, CT 06604 | 2018-02-06 |
| 1013423466 | Va.lu Able Home Care LLC | Registered Nurse | 1000 Lafayette Boulvard, Bridgeport, CT 06604 | 2017-12-21 |
| 1679970172 | Aarti Jawa | Dentist | 594 Pequonnoack Street, Bridgeport, CT 06604 | 2014-11-26 |
| 1932521473 | Anthony Santostefano | Dentist | 594 Pequonnock Street, Bridgeport, CT 06604 | 2014-01-18 |
| 1699011536 | Vanessa Frances Doyle | Naturopath | 115 Broad Street, C/o Center of Excellence, Bridgeport, CT 06604 | 2012-12-21 |
| 1942463302 | Joanna Conte Mcgary | Naturopath | 60 Lafayette Street, Naturopathic Medical Center University of Bridgeport, Bridgeport, CT 06604 | 2008-07-07 |
| 1346415221 | Jenna Lyn Blasi | Naturopath | 60 Lafayette, University of Bridgeport College of Naturopathic Medici, Bridgeport, CT 06604 | 2008-04-23 |
| 1275704462 | Watermark 3030 Park LLC | Skilled Nursing Facility | 3030 Park Ave, Bridgeport, CT 06604 | 2008-03-17 |
| Find all providers in zip 06604 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740677293 | Chiropractors Without Borders | Chiropractor | 630 Brooklawn Ave, Bridgeport, CT 06604-1528 | 2015-04-22 |
| 1396167698 | Brian Piecuch | Chiropractor | 40 Patricia Rd Unit C, Bridgeport, CT 06606-2083 | 2014-01-06 |
| 1609208164 | Jonathan Daniel Rosa | Chiropractor | 955 Main St Apt 812, Bridgeport, CT 06604-4336 | 2013-08-06 |
| 1831477975 | Noel Heriberto Sepulveda | Chiropractor | 1187 Broad St, Lower Level, Bridgeport, CT 06604-4101 | 2011-07-22 |
| 1710218045 | Best Chiropractic Clinic Inc | Chiropractor | 102 Hill St, Bridgeport, WV 26330-1756 | 2010-01-27 |
| 1235377896 | James W Leonette | Chiropractor | 130 Professional Pl, Bridgeport, WV 26330-4599 | 2009-02-04 |
| 1417109323 | James Jarrett Webb | Chiropractor | 1114 Halsell St, Bridgeport, TX 76426-3032 | 2008-10-22 |
| 1558520635 | David C Arpie | Chiropractor | 1700a Barnum Ave, Bridgeport, CT 06610-3206 | 2008-06-04 |
| 1649449695 | Booth Chiropractic | Chiropractor | 56104 National Rd Ste 112a, Bridgeport, OH 43912-2506 | 2008-02-25 |
| 1245364017 | Jonathan Peter Konecny | Chiropractor | 2140 Park Ave, Bridgeport, CT 06604-1915 | 2007-03-15 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 06604 |
Please comment or provide details below to improve the information on DR. KRISTEN ANN KACZANOWSKI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.