Individual
KACI ELIZABETH CHRISTIAN
Active
Individual
KACI ELIZABETH CHRISTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD466518
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1036159890001
—
PA
05
—
1036159890002
—
PA
05
—
1036159890003
—
PA
01
—
792620
MEDICARE
PA
01
—
MD466518
MEDICAL LICENSE
PA
Enumeration date
03/23/2012
Last updated
03/07/2023
Update your record
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