Peddycord, Kristen

Peddycord, Kristen is an sole proprietor health care provider with primary practice located at 5330 S Highway 95 , Fort Mohave AZ 86426-9225. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Peddycord, Kristen can be contacted via phone (928) 788-2273.

Contact Information

Primary practice address
5330 S Highway 95 Fort Mohave AZ 86426-9225
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP11814 Arizona

Profile Details

NPI number 1144704933
LBN Legal business name Peddycord, Kristen
Credentials FNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 18th, 2018
Last updated Aug 28th, 2020 - about 4 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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