Healthcare Provider Details

I. General information

NPI: 1144252933
Provider Name (Legal Business Name): KRISTINA V ZEHNER PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 01/09/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 MEMORIAL AVENUE CARROLL HOSPITAL CENTER
WESTMINSTER MD
21157-5799
US

IV. Provider business mailing address

20010 CENTURY BLVD SUITE 200
GERMANTOWN MD
20874-1115
US

V. Phone/Fax

Practice location:
  • Phone: 410-871-6700
  • Fax: 410-871-7177
Mailing address:
  • Phone: 240-686-2300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberC0002765
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: