Individual
KRISTA JEAN ALLSHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1001 BLYTHE BLVD, STE 500, CHARLOTTE, NC 28203-5866
(704) 373-1813
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-04147
NC
363AM0700X
Medical Physician Assistant
Primary
0010-04147
NC
Other
Enumeration date
12/01/2006
Last updated
07/24/2024
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