Provider Demographics
NPI:1467810531
Name:SAPEL, KRISTINA HENDLEY (PA-C)
Entity Type:Individual
Prefix:
First Name:KRISTINA
Middle Name:HENDLEY
Last Name:SAPEL
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 N CHURCH ST UNIT 1803
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28202-2382
Mailing Address - Country:US
Mailing Address - Phone:828-442-2441
Mailing Address - Fax:
Practice Address - Street 1:4304 PARK RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28209-2271
Practice Address - Country:US
Practice Address - Phone:704-272-3395
Practice Address - Fax:704-272-3396
Is Sole Proprietor?:No
Enumeration Date:2016-02-04
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0010-06256363AM0700X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical