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Individual
MRS. KRISTINA MCKINLEY CABALLERO
Active
Individual
MRS. KRISTINA MCKINLEY CABALLERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA.0006174
CO
363A00000X
Physician Assistant
PA06645
TX
363A00000X
Physician Assistant
Primary
PA6103
MA
363AM0700X
Medical Physician Assistant
PA06645
TX
363AS0400X
Surgical Physician Assistant
PA06645
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA06645
LICENSE
TX
Enumeration date
03/11/2010
Last updated
08/11/2020
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