Kristie Conrad, PA
Physician Assistant, Medical in Fleetwood, PA. Individual provider (NPI-1).
NPI number1043433014
StatusActive
Last updated in NPPESJul 18, 2025
Details
- NPI
- 1043433014
- Entity type
- Individual (NPI-1)
- Name
- Kristie Conrad
- Credential
- PA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 10, 2007
- Certification date
- Jul 18, 2025
- Last updated
- Jul 18, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | MA051325 | PA | Yes |
| 363A00000X | Physician Assistant | MA051325 | PA |
Other names
- Kristie Fizz (Former Name)
Practice location
14351 Kutztown RdFleetwood, PA 19522-9273
Phone 610-944-8800
Mailing address
2100 Mack Blvd Fl 4Allentown, PA 18103-5622
Phone 484-884-4500
Other practice locations
470 Sentry Pkwy E Ste 200
Blue Bell, PA 19422-2332
Blue Bell, PA 19422-2332
Phone 800-999-1249 · Fax 855-656-7325
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