Individual
KRIS B DENHOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
12462 PUTNAM ST STE 208, WHITTIER, CA 90602-1049
(562) 789-5489
(562) 789-4416
Mailing address
21302 LADEENE AVE, TORRANCE, CA 90503-5438
(310) 850-9635
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
CA
363AM0700X
Medical Physician Assistant
—
CA
363AS0400X
Surgical Physician Assistant
Primary
61292
CA
Other
Enumeration date
04/05/2022
Last updated
08/29/2022
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