Provider Demographics
NPI:1316722846
Name:HALLMAN, KRYSTAL LYNN (PA-C)
Entity type:Individual
Prefix:MRS
First Name:KRYSTAL
Middle Name:LYNN
Last Name:HALLMAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:258 WILDFLOWER DR
Mailing Address - Street 2:
Mailing Address - City:EAST EARL
Mailing Address - State:PA
Mailing Address - Zip Code:17519-9703
Mailing Address - Country:US
Mailing Address - Phone:717-413-8779
Mailing Address - Fax:
Practice Address - Street 1:258 WILDFLOWER DR
Practice Address - Street 2:
Practice Address - City:EAST EARL
Practice Address - State:PA
Practice Address - Zip Code:17519-9703
Practice Address - Country:US
Practice Address - Phone:717-413-8779
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-31
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant