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NPI Code Detail

MEDICARE: KRISTEN POOLE PA

MEDICARE: KRISTEN POOLE PA
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 Assistant0010-03310NC

General Provider Information

NPI Number : 1568732600
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTEN POOLE PA
Provider Business Mailing Address
First Line : PO BOX 643822
Second Line :
City : CINCINNATI
State : OH
Zip : 45264-3822
Country : US
Telephone Number : 800-599-0207
Fax Number :
Provider Business Practice Location Address
First Line : 420 N CENTER ST
Second Line :
City : HICKORY
State : NC
Zip : 28601-5033
Country : US
Telephone Number : 828-315-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2012
Last Update Date : 03/21/2012

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Directions to “ KRISTEN POOLE PA” Practice Location

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