Provider Demographics
NPI:1710405501
Name:LYVERS, KRISTIN (CLC)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:
Last Name:LYVERS
Suffix:
Gender:F
Credentials:CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:602 OLD HIGHWAY 64 W
Mailing Address - Street 2:
Mailing Address - City:HAYESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28904-7214
Mailing Address - Country:US
Mailing Address - Phone:828-557-1132
Mailing Address - Fax:
Practice Address - Street 1:602 OLD HIGHWAY 64 W
Practice Address - Street 2:
Practice Address - City:HAYESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28904
Practice Address - Country:US
Practice Address - Phone:828-557-1132
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN