Individual
KRISTA REIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.C.
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
1710
MA
363AS0400X
Surgical Physician Assistant
Primary
1710
MA
Other
Enumeration date
05/12/2006
Last updated
09/11/2025
Update your record
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