Individual
KRISTI E GRUBER
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 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA051987
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031566520001
—
PA
Enumeration date
04/17/2006
Last updated
04/11/2024
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