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Individual
MS. KRISTIN H. WORD
Active
Individual
MS. KRISTIN H. WORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1569
SC
363A00000X
Physician Assistant
TL1569
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1060PA
—
SC
01
—
P00935293
RAILROAD MEDICARE
SC
Enumeration date
08/05/2010
Last updated
07/29/2011
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