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Kristine Katherine Bauer, PA
Surgical Physician Assistant in Montgomery, Alabama
NPI 1598476830

Kristine Katherine Bauer is a Surgical Physician Assistant based in Montgomery, AL and is specialized in Surgical. Kristine Katherine Bauer practices in Montgomery, AL and has the professional credentials of PA. The NPI Number for Kristine Katherine Bauer is 1598476830 and holds a License No. (Alabama).

The current practice location address for Kristine Katherine Bauer is 4160 Carmichael Rd, Montgomery, AL and can be reached out via phone at 334-747-7440 and via fax at 334-747-7449.

Location: 4160 Carmichael Rd, Montgomery, AL, 36117-7005
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598476830
Provider Name
Kristine Katherine Bauer
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
4160 Carmichael Rd, Montgomery, AL, 36117-7005
Phone Number
334-747-7440
Fax Number
334-747-7449
Provider Enumeration Date
12/07/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4160 Carmichael Rd
City
Montgomery
State
Alabama
Zip
36106-3638
Phone Number
334-747-7440
Fax Number
334-747-7449
person
Provider Business Mailing Address Details
Address
4160 Carmichael Rd
City
Montgomery
State
Alabama
Zip
36106-3638
Phone Number
334-747-7440
Fax Number
334-747-7449
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
2113 (Alabama)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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