Basic Information
Provider Information
NPI: 1700015211
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LANGSTON
FirstName: KRISTI
MiddleName: DANA
NamePrefix: DR.
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 532 W PITTSBURGH ST
Address2:  
City: GREENSBURG
State: PA
PostalCode: 156012239
CountryCode: US
TelephoneNumber: 7248324000
FaxNumber:  
Practice Location
Address1: 532 W PITTSBURGH ST
Address2:  
City: GREENSBURG
State: PA
PostalCode: 156012239
CountryCode: US
TelephoneNumber: 7248324000
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/06/2009
LastUpdateDate: 09/19/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000XOS016496PAY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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