KRISTEN KICHLINE


Address: 2115 Sherington Pl Apt D314, Newport Beach, CA 92663-6603
Phone: 6104424827

KRISTEN KICHLINE (NPI# 1073049375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073049375
Entity Type Individual
Full Name KRISTEN KICHLINE
Practice Address 2115 Sherington Pl Apt D314
Newport Beach
CA 92663-6603
Practice Telephone 6104424827
Mailing Telephone 6104424827
Enumeration Date 2017-05-05
Last Update Date 2017-05-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant NON-LICENSED Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2115 SHERINGTON PL APT D314
City NEWPORT BEACH
State CA
Zip Code 92663-6603

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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518599596 Hanna Marie Jantzi Physician Assistant 3501 Jamboree Rd # 1250, Newport Beach, CA 92660-2939 2020-02-07
1760012397 Chiara Rundle Physician Assistant 308 Columbia St, Newport Beach, CA 92663-2305 2020-01-23
1780220772 Noelle Joy Kraus Physician Assistant 20301 Sw Birch St Ste 100, Newport Beach, CA 92660-1754 2019-11-25
1902397219 Ashley Mergelmeyer Physician Assistant 2332 Baypointe Dr, Newport Beach, CA 92660-8520 2018-05-22
1235645052 Jennifer T Le Physician Assistant 2430 W Coast Hwy, Newport Beach, CA 92663-4780 2017-12-15
1679009856 Morgan Surfas Physician Assistant 600 Newport Center Dr Ste 150, Newport Beach, CA 92660-6418 2017-05-07
1619271038 Yoomi Cho Physician Assistant 1401 Avocado Ave Ste 703, Newport Beach, CA 92660-8710 2010-12-28
1023282019 Sally E. Decastro-tilsen Physician Assistant 400 Newport Center Dr Ste 701, Newport Beach, CA 92660-7608 2008-04-22
1396921573 Brandie Rulfs Walton Physician Assistant 400 Newport Center Dr. Ste 500, Newport Beach, CA 92660 2008-01-17
1821289265 Lauren Walters Adams Physician Assistant 2507 Eastbluff Dr, Newport Beach, CA 92660-3504 2007-08-08
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Competitor

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City NEWPORT BEACH
Zip Code 92663

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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