Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Krystalyn Rose Bates, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1053972695

Dr. Krystalyn Rose Bates, DO is a Student in an Organized Health Care Education/Training Program in Meriden, Connecticut. Licensed in Connecticut. Registered with an NPI since 2019.

Licensed in
CT
In the registry since
2019
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

883 Paddock Ave
Meriden, CT 06450-7044
Phone: (203) 634-7020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction Medicine (Preventive Medicine) Physician (primary) Taxonomy 2083A0300X · Licence 73263 (CT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1053972695
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 25, 2019
Last updated in NPPESMay 19, 2023
Certification dateMay 19, 2023
Mailing address800 Atlantic Ave Apt 1, Long Beach, CA 90813-4580

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