KRISTEN MARIE ZACK PA-C NPI 1689056376

NPI Information

Kristen Marie Zack, PA-C is a medical physician assistant in Chesterton, IN. Kristen Marie Zack, PA-C NPI is 1689056376. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

601 GATEWAY BLVD N
CHESTERTON, IN
ZIP 46304-658
Phone: (219) 921-1444
Fax: (219) 921-5303

The NPI 1689056376 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/18/2015 and was last updated on 4/17/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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