Edelman, Kristy L

Edelman, Kristy L is an individual health care provider with primary practice located at 1 Quality Dr , Vacaville CA 95688-9494. 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. Edelman, Kristy L can be contacted via phone (707) 432-3342.

Contact Information

Primary practice address
1 Quality Dr Vacaville CA 95688-9494
Phone: (707) 432-3342
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA17620 California

Profile Details

NPI number 1346337672
LBN Legal business name Edelman, Kristy L
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2006
Last updated Jan 11th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1346337672 NPPES
California MEDICAID PA172600

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