Heristchi, Kristen Leigh

Heristchi, Kristen Leigh is an individual health care provider with primary practice located at 1801 Crystal Lake Dr , Lakeland FL 33801-5979. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Heristchi, Kristen Leigh can be contacted via phone (863) 709-8543.

Contact Information

Primary practice address
1801 Crystal Lake Dr Lakeland FL 33801-5979
Phone: (863) 709-8543
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA910207 Florida
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA910207 Florida

Profile Details

NPI number 1821072190
LBN Legal business name Heristchi, Kristen Leigh
Credentials MPH, PAC, CAQ-PSYCH
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Apr 7th, 2026 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821072190 NPPES
Florida Other E8856Y MEDICARE

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