Desandis, Kristen Kala
Desandis, Kristen Kala is an individual health care provider with primary practice located at 55 Fruit Street Attn: Central Credentialing Office, Boston MA 02114. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, which is considered as her primary health care specialty. Desandis, Kristen Kala can be contacted via phone (617) 726-2212.Contact Information
Primary practice address
55 Fruit Street Attn: Central Credentialing Office
Boston MA 02114
Phone: (617) 726-2212
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine | 363LC0200X | 549912241844 | Massachusetts |
Profile Details
NPI number | 1093469793 |
---|---|
LBN Legal business name | Desandis, Kristen Kala |
Credentials | AG-ACNP, BC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 10th, 2022 |
Last updated | Feb 10th, 2022 - about 2 years ago |
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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