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Individual
MRS. KRISTIN DAVIES MCINTYRE
Active
Individual
MRS. KRISTIN DAVIES MCINTYRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.200569
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200569
PA LICENSE
LA
05
—
2318144
—
LA
Enumeration date
10/02/2012
Last updated
09/30/2026
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