Individual provider · Type 1 NPI

Kristi Kristine Ice, PA-C

Medical Physician Assistant · Phoenix, AZ

NPI number 1265654180 Active

Practice location

3933 East Edna, Suite 102
Phoenix, AZ 85032

Call (602) 569-5437 Map

Fax (602) 482-4640

Mailing address

4605 South Priest Drive, Lot 291
Tempe, AZ 85282

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X3098 (AZ)

Medical Physician Assistant: Definition to come...

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About NPI 1265654180

Kristi Kristine Ice, PA-C's National Provider Identifier is 1265654180, issued on May 2, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 8, 2007.