KRISTIN BOST GAFFNEY PA-C MSPAS NPI 1457633307

NPI Information

NPI: 1457633307
Provider Name: KRISTIN BOST GAFFNEY, PA-C, MSPAS
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
3707 LARGENT WAY NW
MARIETTA, GA
ZIP 30064
Phone: (678) 581-5729
Get Directions

Kristin Bost Gaffney, PA-C, MSPAS is a medical physician assistant in Marietta, GA. Kristin Bost Gaffney, PA-C, MSPAS NPI is 1457633307. 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:

3707 LARGENT WAY NW
MARIETTA, GA
ZIP 30064
Phone: (678) 581-5729
Fax: (678) 581-5719

The enumeration date for this NPI number is 9/16/2011 and was last updated on 11/6/2019.

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	363A00000X	Physician Assistant		0010-04394	NORTH CAROLINA	No
2	363AM0700X	Physician Assistant	Medical	1715	SOUTH CAROLINA	No
3	363AM0700X	Physician Assistant	Medical	7932	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1457633307	MEDICAID	NORTH CAROLINA
2	1742PA	MEDICAID	SOUTH CAROLINA

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: 4/28/2024

NPI Synchronization or Removal

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