Healthcare Provider Details

I. General information

NPI: 1831239987
Provider Name (Legal Business Name): KRISTEN N FAVREAU DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KRISTEN N KROWSKI DC

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

960 TURNPIKE ST STE 1C
CANTON MA
02021-2851
US

IV. Provider business mailing address

960 TURNPIKE ST STE 1C
CANTON MA
02021-2851
US

V. Phone/Fax

Practice location:
  • Phone: 781-821-0072
  • Fax:
Mailing address:
  • Phone: 781-821-0072
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3103
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: