Provider Demographics
NPI:1992955900
Name:LINNELL, KRISTEN MARIE (PHYSICIAN ASSISTANT)
Entity type:Individual
Prefix:MRS
First Name:KRISTEN
Middle Name:MARIE
Last Name:LINNELL
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Gender:F
Credentials:PHYSICIAN ASSISTANT
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Mailing Address - Street 1:2000 MEDICAL PARKWAY SUITE 310
Mailing Address - Street 2:HEALTH SCIENCES PAVILION
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21041
Mailing Address - Country:US
Mailing Address - Phone:410-266-7755
Mailing Address - Fax:410-266-1141
Practice Address - Street 1:2000 MEDICAL PARKWAY SUITE 310
Practice Address - Street 2:HEALTH SCIENCES PAVILION
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21041
Practice Address - Country:US
Practice Address - Phone:410-266-7755
Practice Address - Fax:410-266-1141
Is Sole Proprietor?:No
Enumeration Date:2008-09-26
Last Update Date:2011-09-12
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Provider Licenses
StateLicense IDTaxonomies
MDC0002592363A00000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant