Kristopher Erick Medina

NPI #1124416185 in Paoli, Pennsylvania

Provider Information

NPI Number
1124416185
Entity Type
Individual
Name
Kristopher Erick Medina
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Dec 29, 2014
Last Updated
Oct 13, 2015

Practice Location

Address
21 INDUSTRIAL BLVD
Address 2
SUITE 205
City
Paoli
ZIP Code
19301-1610
Phone
(610) 647-8000

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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