Provider Demographics
NPI:1275581977
Name:ZON, KRISTEN M (PA)
Entity Type:Individual
Prefix:MS
First Name:KRISTEN
Middle Name:M
Last Name:ZON
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:143 SAWYER DR
Mailing Address - Street 2:
Mailing Address - City:ALIQUIPPA
Mailing Address - State:PA
Mailing Address - Zip Code:15001-4435
Mailing Address - Country:US
Mailing Address - Phone:412-621-7777
Mailing Address - Fax:412-683-8698
Practice Address - Street 1:5200 CENTRE AVE
Practice Address - Street 2:312
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15232-1300
Practice Address - Country:US
Practice Address - Phone:412-621-7777
Practice Address - Fax:412-683-8698
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-04
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMA051891363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAQ44911Medicare UPIN
PA091464F1ZMedicare ID - Type Unspecified