Provider Demographics
NPI:1386944742
Name:PFISTER, KIMBERLY LYNN (PA-C)
Entity type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:LYNN
Last Name:PFISTER
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:UNIVERSITY HEALTH CENTER BLDG 140
Mailing Address - Street 2:UNIVERSITY OF MARYLAND
Mailing Address - City:COLLEGE PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20742
Mailing Address - Country:US
Mailing Address - Phone:301-314-8180
Mailing Address - Fax:410-795-3538
Practice Address - Street 1:UNIVERSITY HEALTH CENTER BLDG 140
Practice Address - Street 2:UNIVERSITY OF MARYLAND
Practice Address - City:COLLEGE PARK
Practice Address - State:MD
Practice Address - Zip Code:20742
Practice Address - Country:US
Practice Address - Phone:301-314-8180
Practice Address - Fax:410-795-3538
Is Sole Proprietor?:No
Enumeration Date:2010-11-01
Last Update Date:2016-03-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDC0004387363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical