Individual provider · Type 1 NPI

Kristina Marie Eilbacher, PA-C, LATC, CSCS

Surgical Physician Assistant · Durham, NC

NPI number 1164708558 Active

Practice location

2301 Erwin Rd
Durham, NC 27705-4699

Call (919) 970-4229 Map

Mailing address

PO Box 63362
Charlotte, NC 28263-3362

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300X001924-1 (NY)
Athletic Trainer 2255A2300X000669 (CT)
Surgical Physician Assistant Primary 363AS0400X0010-05259 (NC)

Surgical Physician Assistant: Definition to come...

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About NPI 1164708558

Kristina Marie Eilbacher, PA-C, LATC, CSCS's National Provider Identifier is 1164708558, issued on Oct 29, 2011. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Durham, NC. The record was last updated on Oct 3, 2016.