Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 11216 | CA |
NPI | 1063404879 |
---|---|
Provider Name | Kristeen Davey Lester |
First Address | Palm Springs, CA 92262-2923 |
Second Address | Palm Springs, CA 92262-2923 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2005 |
Last Update Date | 08/07/2007 |