Individual
KRYSTEN M BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
200 MEDICAL PARK BLVD, PETERSBURG, VA 23805
(804) 765-5000
Mailing address
2920 W GRACE ST, APT A, RICHMOND, VA 23221
(231) 250-5464
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110004517
VA
Other
Enumeration date
03/04/2014
Last updated
03/04/2014
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