Individual
KRISHANA M SICHINGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(800) 243-1455
Mailing address
PO BOX 854, MC A410, HERSHEY, PA 17033-0854
(717) 531-5995
(717) 531-6934
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA052139
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA052139
MEDICAL LICENSE
PA
Enumeration date
05/05/2006
Last updated
06/30/2008
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