MEDICARE: KRISTAL HINTON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1932615283
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTAL HINTON

Provider Business Mailing Address
First Line	:	2410 GOOD HOPE RD SE APT 3
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20020-3480
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1200 N CAPITOL ST NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20002-7503
Country	:	US
Telephone Number	:	202-840-0202
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/22/2017
Last Update Date	:	12/22/2017

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Directions to “ KRISTAL HINTON ” Practice Location

Language	Start Address	Practice Location

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