Individual provider · Type 1 NPI

Kristin Nicole Somerville, PA-C

Surgical Physician Assistant · Baltimore, MD

NPI number 1265748263 Active

Practice location

6701 N Charles St
Baltimore, MD 21204-6808

Mailing address

6535 N Charles St Ste 510
Towson, MD 21204-5832

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XC0004260 (MD)
Surgical Physician Assistant Primary 363AS0400XC0004260 (MD)

Surgical Physician Assistant: Definition to come...

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About NPI 1265748263

Kristin Nicole Somerville, PA-C's National Provider Identifier is 1265748263, issued on Aug 27, 2010. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Baltimore, MD. The record was last updated on Jun 16, 2023.