Healthcare Provider Details

I. General information

NPI: 1457531105
Provider Name (Legal Business Name): CARLA YVETTE KREFT N.D., L.AC, M.S.O.M
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/10/2007
Last Update Date: 12/15/2020
Certification Date: 12/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 CONNECTICUT AVE NW STE 336
WASHINGTON DC
20008-2550
US

IV. Provider business mailing address

3000 CONNECTICUT AVE NW STE 336
WASHINGTON DC
20008-2550
US

V. Phone/Fax

Practice location:
  • Phone: 202-701-7212
  • Fax:
Mailing address:
  • Phone: 202-701-7212
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC500061
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number004031
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberNP-0011
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: