Provider Demographics
NPI:1326659848
Name:LUND, KRISTEN ANN (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:KRISTEN
Middle Name:ANN
Last Name:LUND
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:KRISTEN
Other - Middle Name:ANN
Other - Last Name:THOMASON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5725 W ARBOR HILLS WAY APT 114
Mailing Address - Street 2:
Mailing Address - City:THE COLONY
Mailing Address - State:TX
Mailing Address - Zip Code:75056-5366
Mailing Address - Country:US
Mailing Address - Phone:214-354-6670
Mailing Address - Fax:
Practice Address - Street 1:997 RAINTREE CIR STE 130
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-4953
Practice Address - Country:US
Practice Address - Phone:972-449-7940
Practice Address - Fax:972-390-1557
Is Sole Proprietor?:No
Enumeration Date:2020-08-10
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA15606363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical