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NPI 1982114047 · live from the CMS NPI Registry

Krystal Alcott, PA-C

Physician Assistant, Medical in Greenbelt, MD. National Provider Identifier 1982114047, active.

NPI record

NPI1982114047 Type 1 · individual
StatusActive
Primary specialtyPhysician Assistant, Medical 363AM0700X
Practice location7300 Hanover Dr Ste 104, Greenbelt, MD 20770
Practice phone301-486-4690
Mailing address7474 Greenway Center Dr Ste 900, Greenbelt, MD 20770
EnumeratedOctober 3, 2017
Last updatedAugust 5, 2020
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Internal Medicine, Cardiovascular Disease207RC0000X9110801 (FL)
Physician Assistant, Medical primary363AM0700XC07542 (MD)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.