Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KRISTINA FODOR, PA-C
Deactivated Sole ProprietorKRISTINA FODOR, PA-C is a Physician Assistant healthcare provider located in COLORADO SPGS, Colorado. NPI 1104395193 is deactivated in the NPPES registry. Verify at CMS.
Physician Assistant · COLORADO SPGS, CO
This NPI has been deactivated.
The record was deactivated on August 17, 2020.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1104395193
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 19, 2018 (1.7431693989071 yrs)
- Last Updated
- Sep 12, 2024
- Deactivated
- Aug 17, 2020
- License
-
PA.0005425 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2709 N TEJON STCOLORADO SPGS, CO, 809076231Browse CO providers · Browse ZIP 80907
- Phone
- 7194730872
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in COLORADO SPGS, CO
| Name | Credential | NPI |
|---|---|---|
| PHUC LE | PA-C | 1174157010 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.