Provider Demographics
NPI:1205451721
Name:SKORA, KRISTAN HILAREY
Entity type:Individual
Prefix:MS
First Name:KRISTAN
Middle Name:HILAREY
Last Name:SKORA
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 1:46 HUBBARD RD
Mailing Address - Street 2:
Mailing Address - City:BERWICK
Mailing Address - State:ME
Mailing Address - Zip Code:03901-2342
Mailing Address - Country:US
Mailing Address - Phone:978-504-9714
Mailing Address - Fax:
Practice Address - Street 1:46 HUBBARD RD
Practice Address - Street 2:
Practice Address - City:BERWICK
Practice Address - State:ME
Practice Address - Zip Code:03901-2342
Practice Address - Country:US
Practice Address - Phone:978-504-9714
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-10
Last Update Date:2020-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide