# MRS. KRISTINE RENEE MAGGI

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

## Provider details

- **NPI number:** 1952411647
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | 290 | WY | — |
| 363A00000X | Physician Assistant | 2412 | NE | Yes |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 01/26/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 311835 | BLUE CROSS | WY |
| 01 | — | 970029372 | RAILROAD MEDICARE | — |