Provider Demographics
NPI:1720679327
Name:KREIDER, KARA FITZPATRICK (PA-C)
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:FITZPATRICK
Last Name:KREIDER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 N LIME ST
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17602-2729
Mailing Address - Country:US
Mailing Address - Phone:717-392-6267
Mailing Address - Fax:717-392-6059
Practice Address - Street 1:203 N LIME ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17602-2729
Practice Address - Country:US
Practice Address - Phone:717-392-6267
Practice Address - Fax:717-392-6059
Is Sole Proprietor?:No
Enumeration Date:2021-01-27
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA061993363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant