Provider Demographics
NPI:1770674251
Name:RIVERA, KRISTIN (PA C)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:
Last Name:RIVERA
Suffix:
Gender:F
Credentials:PA C
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2023 E HIGH ST
Mailing Address - Street 2:
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19464-3211
Mailing Address - Country:US
Mailing Address - Phone:106-323-1550
Mailing Address - Fax:610-326-6160
Practice Address - Street 1:2023 E HIGH ST
Practice Address - Street 2:
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19464-3211
Practice Address - Country:US
Practice Address - Phone:610-323-1550
Practice Address - Fax:610-326-6160
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2021-07-16
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant