Provider Demographics
NPI:1023656493
Name:SAUNDERS, KRISTINA LYNN
Entity type:Individual
Prefix:
First Name:KRISTINA
Middle Name:LYNN
Last Name:SAUNDERS
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 1:1035 COLUMBIA AVE
Mailing Address - Street 2:
Mailing Address - City:FAIRBORN
Mailing Address - State:OH
Mailing Address - Zip Code:45324-3703
Mailing Address - Country:US
Mailing Address - Phone:276-265-0947
Mailing Address - Fax:
Practice Address - Street 1:1035 COLUMBIA AVE
Practice Address - Street 2:
Practice Address - City:FAIRBORN
Practice Address - State:OH
Practice Address - Zip Code:45324-3703
Practice Address - Country:US
Practice Address - Phone:276-265-0947
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-17
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant