Provider Demographics
NPI:1548498306
Name:SIKORSKI, KRISTA LEE (PA-C)
Entity type:Individual
Prefix:
First Name:KRISTA
Middle Name:LEE
Last Name:SIKORSKI
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:551 HOSPITAL ROAD
Mailing Address - Street 2:NEW RICHMOND CLINIC
Mailing Address - City:NEW RICHMOND
Mailing Address - State:WI
Mailing Address - Zip Code:54017
Mailing Address - Country:US
Mailing Address - Phone:715-246-6911
Mailing Address - Fax:715-246-8980
Practice Address - Street 1:551 HOSPITAL ROAD
Practice Address - Street 2:NEW RICHMOND CLINIC
Practice Address - City:NEW RICHMOND
Practice Address - State:WI
Practice Address - Zip Code:54017
Practice Address - Country:US
Practice Address - Phone:715-246-6911
Practice Address - Fax:715-246-8980
Is Sole Proprietor?:No
Enumeration Date:2009-06-30
Last Update Date:2009-06-30
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Provider Licenses
StateLicense IDTaxonomies
WI2449-023363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant