Individual provider · Type 1 NPI

Krysten M. Bishop, PA

Medical Physician Assistant · Petersburg, VA

NPI number 1174948889 Active

Practice location

200 Medical Park Blvd
Petersburg, VA 23805

Call (804) 765-5000 Map

Mailing address

2920 W Grace St, Apt A
Richmond, VA 23221

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X0110004517 (VA)

Medical Physician Assistant: Definition to come...

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About NPI 1174948889

Krysten M. Bishop, PA's National Provider Identifier is 1174948889, issued on Mar 4, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Petersburg, VA. The record was last updated on Mar 4, 2014.