Fogle, Kristy Michelle

Fogle, Kristy Michelle is an individual health care provider with primary practice located at 5401 Old Court Road Northwest Hospital-Emergency Department, Randallstown MD 21133. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Fogle, Kristy Michelle can be contacted via phone (443) 848-8705.

Contact Information

Primary practice address
5401 Old Court Road Northwest Hospital-Emergency Department Randallstown MD 21133
Phone: (443) 848-8705
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X C0005156 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X C0005156 Maryland

Profile Details

NPI number 1508291410
LBN Legal business name Fogle, Kristy Michelle
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2013
Last updated Sep 10th, 2013 - about 11 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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