Kirsten May Alliston

Individual provider Active NPI Physician Assistant · Vallejo, CA

NPI 1457064537 · NPPES record last updated Jan 3, 2023

Key facts

NPI
1457064537
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
Practice address
1310 Club Dr
Vallejo, CA 94592-1187
Phone
(707) 638-5809
NPI assigned
Jan 3, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Yes

Addresses

Primary practice location

1310 Club Dr
Vallejo, CA 94592-1187

Mailing address

1310 Club Dr
Vallejo, CA 94592-1187

Other providers in Vallejo, CA

All providers in Vallejo, CA · Physician Assistant in California

Sources for this page

Verify at the official NPI Registry.