Kristen Diane Flanagan, P.A.-C
Physician Assistant in Bethesda, MD. Individual provider (NPI-1).
NPI number1972886232
StatusActive
Last updated in NPPESSep 23, 2011
Details
- NPI
- 1972886232
- Entity type
- Individual (NPI-1)
- Name
- Kristen Diane Flanagan
- Credential
- P.A.-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 23, 2011
- Last updated
- Sep 23, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | C04583 | MD | Yes |
Practice location
10215 Fernwood RdSuite 506
Bethesda, MD 20817-1106
Phone 301-530-1010 · Fax 301-897-8597
Mailing address
10215 Fernwood RdSuite 506
Bethesda, MD 20817-1106
Phone 301-530-1010 · Fax 301-897-8597
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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