Kristin Marie Balthazor, PA-C, MPAS

NPI #1649422619 in Sheboygan, Wisconsin

Provider Information

NPI Number: 1649422619
Entity Type: Individual
Name: Kristin Marie Balthazor, PA-C, MPAS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C, MPAS
Enumeration Date: Oct 21, 2008
Last Updated: Mar 13, 2023

Practice Location

Address: 2124 KOHLER MEMORIAL DR
City: Sheboygan
State: Wisconsin
ZIP Code: 53081-3169
Phone: (833) 821-7246

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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