Individual
MRS. KRISTEN WHIPKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
211 MOUNTAIN AVE, ASSOCITES IN CARDIOVASCULAR DISEASE, SPRINGFIELD, NJ 07081-2221
(973) 467-0005
(973) 912-8989
Mailing address
PO BOX 416457, PRACTICE ASSOCIATES MEDICAL GROUP, BOSTON, MA 02241-6457
(973) 656-6280
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00035400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
224388U77
MEDICARE ID #
NJ
Enumeration date
10/27/2006
Last updated
10/03/2019
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