Individual provider · Type 1 NPI

Kristan Kaine, PA-C

Medical Physician Assistant · San Diego, CA

NPI number 1922401108 Active

Practice location

11425 El Camino Real
San Diego, CA 92130-2045

Mailing address

763 G Ave
Coronado, CA 92118-2178

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA15533 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1922401108

Kristan Kaine, PA-C's National Provider Identifier is 1922401108, issued on Oct 2, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in San Diego, CA. The record was last updated on May 7, 2020.