Betz, Kiersten Leigh

Betz, Kiersten Leigh is an sole proprietor health care provider with primary practice located at 210 Forge Rd Ste 2 , Boiling Springs PA 17007-9787. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Betz, Kiersten Leigh can be contacted via phone (717) 254-6109.

Contact Information

Primary practice address
210 Forge Rd Ste 2 Boiling Springs PA 17007-9787
Phone: (717) 254-6109
Fax: (717) 701-8522
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA064633 Pennsylvania

Profile Details

NPI number 1073217782
LBN Legal business name Betz, Kiersten Leigh
Credentials RT (R), PA-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2023
Last updated Jul 25th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073217782 NPPES
Pennsylvania MEDICAID 1041908190001

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