Most Relevant Information
Provider Data
| NPI Number: | 1003472218 |
| Provider Name: | KRISTIN WHACK |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/13/2019 |
| Last Updated: | 05/13/2019 |
Provider Practice Location
2640 FOREST HILL BLVD
WEST PALM BEACH
FL
334065931
Practice Location Phone/Fax
| Phone: | 5616168411 |
| Fax: |
Provider Mailing Location
4776 VIA BARI APT 6211
LAKE WORTH
FL
334636789
Provider Mailing Phone/Fax
| Phone: | 5617144885 |
| Fax: |