Individual
MRS. KRISTI XHAXHO KRIKRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
385 W MAIN ST, AVON, CT 06001-4357
(860) 777-1280
Mailing address
776 LONGMEADOW ST, LONGMEADOW, MA 01106-2219
(413) 565-4400
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
PA7246
MA
363A00000X
Physician Assistant
Primary
004645
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004645
CT LIC
CT
Enumeration date
10/16/2019
Last updated
06/19/2020
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