Provider Demographics
NPI:1497262018
Name:KRISTOFF, FRANCENE LYNNE
Entity type:Individual
Prefix:
First Name:FRANCENE
Middle Name:LYNNE
Last Name:KRISTOFF
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 1:327 HERSHBERGER RD
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24012-1961
Mailing Address - Country:US
Mailing Address - Phone:540-265-2153
Mailing Address - Fax:
Practice Address - Street 1:327 HERSHBERGER ROAD NW
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24012-1961
Practice Address - Country:US
Practice Address - Phone:540-265-2153
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-04
Last Update Date:2018-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA02020091041835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric