KRISTIN GALE GOELLER PA-C NPI 1306939350

NPI Information

NPI: 1306939350
Provider Name: KRISTIN GALE GOELLER, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: ENT PROFESSIONAL ASSOCIATION SERVICES

PECOS Registration: Yes

Address:
5770 S 250 E STE 415
MURRAY, UT
ZIP 84107
Phone: (801) 268-2822
Get Directions

Kristin Gale Goeller, PA-C is a medical physician assistant in Murray, UT with 20 years of experience. Kristin Gale Goeller, PA-C NPI is 1306939350. 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:

5770 S 250 E STE 415
MURRAY, UT
ZIP 84107
Phone: (801) 268-2822
Fax: (801) 268-2832

The NPI 1306939350 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 10/2/2006 and was last updated on 5/23/2018.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	00110002060	VIRGINIA	No
2	363AM0700X	Physician Assistant	Medical	15	VIRGIN ISLANDS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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