NPI 1164850566

Kristin Ann Cordrey, PAC

Practitioner Physician Assistant Lewes, DE

Practice location

Address: 750 Kings Hwy Suite 103, Lewes, DE 19958-1192
Phone: (302) 645-7050
Fax: (302) 645-8473
Mailing address: 20714 Annondell Dr, Lewes, DE 19958-7305

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence C5-0000913 (DE)

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Registry record

NPI: 1164850566
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Oct 2013
Record last updated: 27 Apr 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.