KRISTEN KIVLEN (NPI# 1174074116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174074116 |
| Entity Type | Individual |
| Full Name | KRISTEN KIVLEN |
| Credential | PA-C |
| Practice Address |
17 Western Maryland Pkwy Suite 102 Hagerstown MD 21740-5471 |
| Practice Telephone | 3017979240 |
| Mailing Telephone | 3017979240 |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2016-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
C0006245 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
17 WESTERN MARYLAND PKWY SUITE 102 |
| City | HAGERSTOWN |
| State | MD |
| Zip Code | 21740-5471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982601068 | Stuart Jack Goodman | Psychiatry & Neurology | 17 Western Maryland Pkwy, Suite 100, Hagerstown, MD 21740-5471 | 2005-07-05 |
| 1982256111 | Tia Marie Finzel | Physician Assistant | 17 Western Maryland Pkwy, Hagerstown, MD 21740-5471 | 2019-07-09 |
| 1134519606 | Stephanie Hamrick | Physician Assistant | 17 Western Maryland Pkwy, Suite 100, Hagerstown, MD 21740-5471 | 2015-02-04 |
| 1316336449 | Collina Afriyie | Physician Assistant | 17 Western Maryland Pkwy, Suite 100, Hagerstown, MD 21740-5471 | 2015-01-13 |
| 1801225057 | John Christopher De Luna | Physical Therapist | 17 Western Maryland Pkwy, Hagerstown, MD 21740-5471 | 2013-11-08 |
| 1144453879 | Andrea N Stone | Physical Therapist | 17 Western Maryland Pkwy, Suite 100, Hagerstown, MD 21740-5471 | 2009-08-28 |
| 1366690281 | Parkway Neuroscience and Spine Institute, LLC | Physical Therapist | 17 Western Maryland Pkwy, Suite 100, Hagerstown, MD 21740-5471 | 2008-09-04 |
| 1356512792 | Grace Mooney | Neurological Surgery | 17 Western Maryland Pkwy, Suite 100, Hagerstown, MD 21740-5471 | 2008-03-13 |
| 1073710158 | Aaron Robert Probst | Physician Assistant | 17 Western Maryland Pkwy, Ste 100, Hagerstown, MD 21740-5146 | 2007-07-02 |
| 1679779409 | Nino Dgebuadze | Physical Medicine & Rehabilitation | 17 Western Maryland Pkwy, Suite 100, Hagerstown, MD 21740 | 2007-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548877426 | Shaynee Ann Barcelona Araneta | Physical Medicine & Rehabilitation | 17303 Kilpatrick Ct, Hagerstown, MD 21740 | 2020-09-25 |
| 1265081319 | Jes Right Care Dba Right At Home | In Home Supportive Care | 223 N. Pospect Street, Suite 203, Hagerstown, MD 21740 | 2019-09-10 |
| 1649828633 | Ihuoma Marvelous Udeagha | Nurse Practitioner | West Virginia University Medicine Brain & Spine, 13 Western Maryland Parkway, Ste 106, Hagerstown, MD 21740 | 2019-09-03 |
| 1831651157 | Rankin Physical Therapy, Inc. | Clinic/Center | 18348 Spark Drive, Suite 203, Hagerstown, MD 21740 | 2019-04-04 |
| 1285195586 | Ultimate Hearing Solutions Vi, LLC | Audiologist-Hearing Aid Fitter | 222 East Oak Ridge Dr. South Point Shopping Center, Suite 1850, Hagerstown, MD 21740 | 2019-03-28 |
| 1285108001 | Alternative Drig & Alcohol Counseling LLC | Counselor | 339 E Antietam Street, Hagerstown, MD 21740 | 2019-01-15 |
| 1093287617 | Brooke's House, Inc. | Clinic/Center | 17670 Technology Boulevard, Hagerstown, MD 21740 | 2018-12-20 |
| 1871096487 | Ashley Lawal | Behavioral Analyst | 649 Guilford Ave, Hagerstown, MD 21740 | 2018-03-10 |
| 1194231738 | Btst Services LLC | Community/Behavioral Health | 1301 W Washington St, 101, Hagerstown, MD 21740 | 2017-12-19 |
| 1811408057 | Compassionate Wellness Center, LLC | Nurse Practitioner | 44 N Potomac St Ste 101&102, Hagerstown, MD 21740 | 2017-10-16 |
| Find all providers in zip 21740 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134519606 | Stephanie Hamrick | Physician Assistant | 17 Western Maryland Pkwy, Suite 100, Hagerstown, MD 21740-5471 | 2015-02-04 |
| 1346682796 | Michael Thomas Lugarich | Physician Assistant | 11110 Medical Campus Rd, Suite 225, Hagerstown, MD 21742-6700 | 2013-07-26 |
| 1538310230 | Cheri Marie Cartagena | Physician Assistant | 11110 Medical Campus Rd Ste 147, Hagerstown, MD 21742-6755 | 2008-10-01 |
| 1326294216 | Jeffrey Ronald Buterbaugh | Physician Assistant | 11110 Medical Campus Rd, Suite 205, Hagerstown, MD 21742-6700 | 2008-08-12 |
| 1053506436 | Sarah N Faith | Physician Assistant | 13 Western Maryland Pkwy, Suite 104, Hagerstown, MD 21740-6474 | 2007-09-10 |
| 1821050519 | Guy Anthony Mazzone | Physician Assistant | 11110 Medical Campus Rd, Suite 205, Hagerstown, MD 21742-6700 | 2006-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205475803 | Kendy Karenys Lopez | Physician Assistant | 18324 Streamside Dr Apt 204, Gaithersburg, MD 20879-5228 | 2019-12-30 |
| 1528619640 | Cindy Pham | Physician Assistant | 7515 Oyster Bay Way, Gaithersburg, MD 20886-5905 | 2019-09-20 |
| 1508336637 | Victor Orlando Hernandez | Physician Assistant | 125 Potomac Psge Unit 200, Oxon Hill, MD 20745-1580 | 2018-12-02 |
| 1164905824 | Surgical Focus LLC | Physician Assistant | 5550 Friendship Blvd Ste 100, Chevy Chase, MD 20815-7294 | 2018-09-10 |
| 1912497173 | Gem Y Walker Lawson | Physician Assistant | 6500 Rock Spring Dr Ste 100, Bethesda, MD 20817-1182 | 2018-05-14 |
| 1306341540 | Sunil Harris | Physician Assistant | 22 S. Green St, University of Maryland Medical Center, Baltimore, MD 21201-1595 | 2018-03-29 |
| 1134639263 | Liz Ramirez | Physician Assistant | 1101 E 33rd St, Baltimore, MD 21218-3637 | 2017-10-03 |
| 1093231755 | Daniel Gentry | Physician Assistant | 301 Saint Paul St Ste Pob 802, Baltimore, MD 21202-2102 | 2017-08-15 |
| 1467981431 | Lana E Grubb | Physician Assistant | 12502 Willowbrook Rd Ste 470, Cumberland, MD 21502-6593 | 2017-06-05 |
| 1174051353 | Nam Anh Pham | Physician Assistant | 227 Saint Paul St Fl 6, Baltimore, MD 21202-2001 | 2017-05-31 |
| Find all providers with the same taxonomy | ||||
| City | HAGERSTOWN |
| Zip Code | 21740 |
Please comment or provide details below to improve the information on KRISTEN KIVLEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.