NPI 1184721276
Kristy Polhemus
Practice location
- Address
- 102 Flag Lake Dr STE C, Lake Jackson, TX 77566-6215
- Phone
- (979) 297-1201
- Fax
- (979) 297-6226
- Mailing address
- 1109 E Kyle Rd, Clute, TX 77531-3311
Registered specialties
Dental Assistant
Primary
Registry record
- NPI
- 1184721276
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 20 Sep 2006
- Record last updated
- 8 Jul 2007
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.