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Individual
MRS. KRISTINE RENEE MAGGI
Active
Individual
MRS. KRISTINE RENEE MAGGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
290
WY
363A00000X
Physician Assistant
Primary
2412
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
311835
BLUE CROSS
WY
01
—
970029372
RAILROAD MEDICARE
—
Enumeration date
08/30/2006
Last updated
01/26/2022
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