MEDICARE: KRISTEN REIGH CADY MS, LAC

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	171100000X	Acupuncturist	U01260	MD

General Provider Information

NPI Number	:	1073787933
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTEN REIGH CADY MS, LAC

Provider Business Mailing Address
First Line	:	10949 RIVERVIEW RD
Second Line	:
City	:	FORT WASHINGTON
State	:	MD
Zip	:	20744-5830
Country	:	US
Telephone Number	:	301-643-7463
Fax Number	:

Provider Business Practice Location Address
First Line	:	7069 ALLENTOWN RD
Second Line	:
City	:	CAMP SPRINGS
State	:	MD
Zip	:	20748-5301
Country	:	US
Telephone Number	:	301-643-7463
Fax Number	:

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

Provider Enumeration Date	:	04/22/2008
Last Update Date	:	04/22/2008

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