# KRISTY BANDI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1821414624
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | MA056760 | PA | Yes |

## Other

- **Enumeration date:** 03/17/2014
- **Last updated:** 02/06/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 103205167 | — | PA |
| 01 | — | 14023015 | CAQH | — |