Provider Demographics
NPI:1578938817
Name:SEARLS, KRISTINA CARROLL (MMS, PA-C)
Entity Type:Individual
Prefix:MRS
First Name:KRISTINA
Middle Name:CARROLL
Last Name:SEARLS
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Gender:F
Credentials:MMS, PA-C
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Mailing Address - Street 1:11154 HURON ST
Mailing Address - Street 2:SUITE 212
Mailing Address - City:NORTHGLENN
Mailing Address - State:CO
Mailing Address - Zip Code:80234-2328
Mailing Address - Country:US
Mailing Address - Phone:303-920-5161
Mailing Address - Fax:303-452-4625
Practice Address - Street 1:11154 HURON ST
Practice Address - Street 2:SUITE 212
Practice Address - City:NORTHGLENN
Practice Address - State:CO
Practice Address - Zip Code:80234-2328
Practice Address - Country:US
Practice Address - Phone:303-920-5161
Practice Address - Fax:303-452-4625
Is Sole Proprietor?:No
Enumeration Date:2015-12-12
Last Update Date:2016-08-02
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Provider Licenses
StateLicense IDTaxonomies
COPA.0004497363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant