Provider Demographics
NPI:1699841783
Name:MCLAUGHLIN, KRISTA MARIE (PA-C)
Entity Type:Individual
Prefix:
First Name:KRISTA
Middle Name:MARIE
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:S 6TH AVE & SPR ST, READING HOSP REG CA CTR, BLDG N GR
Mailing Address - Street 2:BERKS HEMATOLOGY ONCOLOGY ASSOC, LTD
Mailing Address - City:WEST READING
Mailing Address - State:PA
Mailing Address - Zip Code:19611-6052
Mailing Address - Country:US
Mailing Address - Phone:610-374-4404
Mailing Address - Fax:610-374-1396
Practice Address - Street 1:S 6TH AVE & SPRUCE ST
Practice Address - Street 2:READING HOSP REG CA CTR, BLDG N GROUND
Practice Address - City:WEST READING
Practice Address - State:PA
Practice Address - Zip Code:19611-6052
Practice Address - Country:US
Practice Address - Phone:610-374-4404
Practice Address - Fax:610-374-1396
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2012-05-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMA052783363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
1958673OtherHIGHMARK BLUE SHIELD
50065627OtherCAPITAL BLUE CROSS
50065627OtherKEYSTONE HEALTH CENTRAL
PA124669D7GMedicare PIN