MEDICARE: KRISTEN KATHRYNE DONALDSON P.A.

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	363A00000X	Physician Assistant	005250	GA

General Provider Information

NPI Number	:	1952579039
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTEN KATHRYNE DONALDSON P.A.

Provider Business Mailing Address
First Line	:	2701 N DECATUR RD
Second Line	:
City	:	DECATUR
State	:	GA
Zip	:	30033-5918
Country	:	US
Telephone Number	:	404-501-5350
Fax Number	:

Provider Business Practice Location Address
First Line	:	2100 POWELL ST
Second Line	:	SUITE 900
City	:	EMERYVILLE
State	:	CA
Zip	:	94608-1826
Country	:	US
Telephone Number	:	510-350-2600
Fax Number	:

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

Provider Enumeration Date	:	02/12/2008
Last Update Date	:	12/15/2025

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Directions to “ KRISTEN KATHRYNE DONALDSON P.A.” Practice Location

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