| Doctor Name: | KRISTEN M CHILDRESS |
| NPI Number: | 1003952870 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | RN00138087 |
| Business Practice Address: | 2431 Anderson Ave Port Orchard, WA - 983661302 |
| Business Phone Number: | 3607103319 |
| Business Fax Number: | 3608760878 |
| Mailing Address: | 4810 Point Fosdick Dr Nw, Pmb 27 GIG HARBOR |
| State: | WA |
| Postal Code: | 983351711 |
| Phone Number: | 3607103319 |
| Fax Number: | 3608760878 |
| NPI Enumeration Date: | 01/29/2007 |
| NPI Last Update Date: | 02/10/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | RN00138087 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |