Individual
KRISTEN E REISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
455 E PIKES PEAK AVE, SUITE 220, COLORADO SPRINGS, CO 80903-3648
(719) 475-8080
(719) 475-0913
Mailing address
455 E PIKES PEAK AVE, SUITE 220, COLORADO SPRINGS, CO 80903-3648
(719) 475-8080
(719) 475-0913
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA.0004168
CO
363AS0400X
Surgical Physician Assistant
Primary
PA.0004168
CO
Other
Enumeration date
12/03/2014
Last updated
09/10/2015
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