Individual
KRISTINE KATHERINE BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4160 CARMICHAEL RD, MONTGOMERY, AL 36106-3638
(334) 747-7440
(334) 747-7449
Mailing address
301 BROWN SPRINGS RD, MONTGOMERY, AL 36117-7005
(334) 747-4159
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2113
AL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
12/07/2022
Last updated
04/05/2023
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