Healthcare Provider Details

I. General information

NPI: 1881147056
Provider Name (Legal Business Name): KRISTOPHER ARNDT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2016
Last Update Date: 07/25/2022
Certification Date: 07/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2011 TATE SPRINGS RD
LYNCHBURG VA
24501-1111
US

IV. Provider business mailing address

2011 TATE SPRINGS RD
LYNCHBURG VA
24501-1111
US

V. Phone/Fax

Practice location:
  • Phone: 434-947-3963
  • Fax:
Mailing address:
  • Phone: 434-947-3963
  • Fax: 434-947-5935

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number4301110633
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number0101276142
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: