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NPI Code Detail

MEDICARE: MISS KRISTEN LEIGH BAUMGARTNER PA

MEDICARE: MISS KRISTEN LEIGH BAUMGARTNER 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 AssistantPA18354TX
2363AM0700XMedical Physician AssistantMA062898PA
3363A00000XPhysician AssistantC5-0012397DE

General Provider Information

NPI Number : 1891379236
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS KRISTEN LEIGH BAUMGARTNER PA
Provider Business Mailing Address
First Line : 326 VISTA DR
Second Line :
City : PHOENIXVILLE
State : PA
Zip : 19460-1053
Country : US
Telephone Number : 610-389-9550
Fax Number :
Provider Business Practice Location Address
First Line : 100 ST LUKES LN
Second Line :
City : STROUDSBURG
State : PA
Zip : 18360-6217
Country : US
Telephone Number : 866-785-8537
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2021
Last Update Date : 01/26/2026

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Directions to “ MISS KRISTEN LEIGH BAUMGARTNER PA” Practice Location

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