NPI 1053972695

Krystalyn Rose Bates, DO

Practitioner Addiction Medicine (Preventive Medicine) Physician Meriden, CT

Practice location

Address: 883 Paddock Ave, Meriden, CT 06450-7044
Phone: (203) 634-7020
Mailing address: 800 Atlantic Ave APT 1, Long Beach, CA 90813-4580

Registered specialties (2)

Addiction Medicine (Preventive Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083A0300X Licence 73263 (CT)

Other Preventive Medicine providers in Connecticut →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1053972695
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Jun 2019
Record last updated: 19 May 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.