MISS KYRSTEN M WOOLDRIDGE LD NPI 1063064053

NPI Information

NPI: 1063064053
Provider Name: MISS KYRSTEN M WOOLDRIDGE, LD
Classification: Denturist - 122400000X
Entity Type: Individual
Address:
142 RIVER VISTA PL
TWIN FALLS, ID
ZIP 83301
Phone: (208) 734-7246
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MISS Kyrsten M Wooldridge, LD is a denturist in Twin Falls, ID. The provider is a denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices. MISS Kyrsten M Wooldridge, LD NPI is 1063064053. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

142 RIVER VISTA PL
TWIN FALLS, ID
ZIP 83301-056
Phone: (208) 734-7246

The enumeration date for this NPI number is 7/10/2019 and was last updated on 7/10/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	122400000X	Denturist	LD-118	IDAHO	Yes
2	122400000X	Denturist			No
3	122400000X	Denturist	118	IDAHO	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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