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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KRISTIN MARIE BALTHAZOR, PA-C, MPAS

Active

KRISTIN MARIE BALTHAZOR, PA-C, MPAS is a Physician Assistant healthcare provider located in SHEBOYGAN, Wisconsin. NPI 1649422619 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · SHEBOYGAN, WI

Registration Details

NPI Number
1649422619
Provider Type
Individual
Gender
Female
NPI Issued
Oct 21, 2008 (17.829999298132 yrs)
Last Updated
Mar 13, 2023
Licenses
085.003246 (IL)
4402-23 (WI)

Practice Information

Address
2124 KOHLER MEMORIAL DR
SHEBOYGAN, WI, 530813169
Browse WI providers · Browse ZIP 53081
Phone
8338217246
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in SHEBOYGAN, WI

Name Credential NPI
JEROME TIMOTHY MILLER P.A. 1629034798
EMILY M COPPS PA-C 1114975372
MS. DANELLE M PLENNES PA-C 1437106531
JOCELYN A ACOMPANADO PA-C 1770521486
MS. LINDEN J ENGELSMA PA-C 1699880716
HEATHER R JAMES P.A.-C 1922114347
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.