Kristin M Detlefsen, PA-C
Physician Assistant, Surgical in Manchester, New Hampshire
1457436354- Practice location
- 100 Hitchcock Way, Manchester, NH 03104-4125
- Phone
- 603-695-2500
- Fax
- —
- Last updated
- June 23, 2014
Kristin Michele Detlefsen is a Physician Assistant, Surgical based in Manchester, NH. Kristin Michele Detlefsen practices in Manchester, NH and has the professional credentials of PA-C. The NPI Number for Kristin Michele Detlefsen is 1457436354 and holds a License No. 0604 (NH). The current practice location address for Kristin Michele Detlefsen is 100 Hitchcock Way, Manchester, NH 03104-4125 and can be reached out via phone at 603-695-2500.
Provider Profile Details
- NPI Number
- 1457436354
- Provider Name
- Kristin Michele Detlefsen
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 100 Hitchcock Way, Manchester, NH 03104-4125
- Phone Number
- 603-695-2500
- Primary Taxonomy
- Physician Assistant, Surgical · 363AS0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 26, 2006
- Last Update Date
- June 23, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 100 Hitchcock Way
Manchester, NH 03104-4125 - City
- Manchester
- State
- New Hampshire
- Zip
- 03104-4125
- Phone Number
- 603-695-2500
Provider Business Mailing Address Details
- Address
- 100 Hitchcock Way
Manchester, NH 03104-4125 - City
- Manchester
- State
- NH
- Zip
- 03104-4125
- Phone Number
- 603-695-2500
License Information
- License Number (1)
- 0604
- License State (1)
- NH
- Taxonomy (1)
- Physician Assistant, Medical · 363AM0700X
- License Number (2)
- 0604
- License State (2)
- NH
- Taxonomy (2)
- Physician Assistant, Surgical · 363AS0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistant, Surgical providers near Manchester, NH
View all Physician Assistant, Surgical providers in Manchester →- Allison Kalil, PA-CPhysician Assistant, Surgical · NPI 1851444814
- Candice M Salvas, PAPhysician Assistant, Surgical · NPI 1477897700
- Christina J Hebert, CSFAPhysician Assistant, Surgical · NPI 1083763858
- Christopher L Smith, PA-CPhysician Assistant, Surgical · NPI 1841418209
- Jill C Uhlenhake, PAPhysician Assistant, Surgical · NPI 1376788232
- Justina J Volodzko, PA-CPhysician Assistant, Surgical · NPI 1003399510
Frequently Asked Questions
What is the NPI number of Kristin M Detlefsen, PA-C?
The NPI number of Kristin M Detlefsen, PA-C is 1457436354. It was assigned on October 26, 2006 and is currently active in the NPPES registry.
What is the specialty of Kristin M Detlefsen, PA-C?
Kristin M Detlefsen, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in NH under license number 0604.
Where does Kristin M Detlefsen, PA-C practice?
The practice location is 100 Hitchcock Way, Manchester, NH 03104-4125. The office can be reached at 603-695-2500 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1457436354 directly on the NPPES registry website.