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NPI Code Detail

MEDICARE: KRISTEN E MUNKS PA-C

MEDICARE:   KRISTEN E MUNKS  PA-C
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
1363A00000XPhysician AssistantPA176310OR
2363A00000XPhysician AssistantPA0005176CO

General Provider Information

NPI Number : 1356709026
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTEN E MUNKS PA-C
Provider Business Mailing Address
First Line : 1830 BLAKE AVE STE 202
Second Line :
City : GLENWOOD SPRINGS
State : CO
Zip : 81601-4261
Country : US
Telephone Number : 970-384-7510
Fax Number : 970-384-7511
Provider Business Practice Location Address
First Line : 1830 BLAKE AVE STE 202
Second Line :
City : GLENWOOD SPRINGS
State : CO
Zip : 81601-4261
Country : US
Telephone Number : 970-384-7510
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2016
Last Update Date : 02/22/2022

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Directions to “ KRISTEN E MUNKS PA-C” Practice Location

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