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KRISTIN MICHELE DETLEFSEN PA-C
NPI 1457436354
Physician Assistant - Surgical in Manchester, NH

Active since October 26, 2006
100 HITCHCOCK WAY, MANCHESTER, NH 03104(603) 695-2500 Get Directions Write a Review

NPPES record last updated: June 23, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kristin Michele Detlefsen Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTIN MICHELE DETLEFSEN PA-C (NPI 1457436354) is an individual surgical provider in Manchester, New Hampshire, licensed in New Hampshire (0604) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1457436354
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameKRISTIN MICHELE DETLEFSENCredential: PA-C
Location Address100 HITCHCOCK WAYManchester, NH 03104-4125
Mailing Address100 Hitchcock WayManchester, NH 03104-4125 · (603) 695-2500
Phone(603) 695-2500
Sole ProprietorNo
Enumeration DateOctober 26, 2006
Last NPPES UpdateJune 23, 2014
✔ NPI 1457436354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in NH · 0604
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 0604 (NH)
100 HITCHCOCK WAY, Manchester, NH 03104
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Other Identifiers 3

Medicare PIN0002768NH
Medicaid30336099NH
Medicaid3076097NH

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MAYRA BEAUCHAMP BRUNO M.D.
Dermatology
100 HITCHCOCK WAY
MANCHESTER, NH 03104
Hillsborough County (603) 695-2500
LAUREN JEAN WELTON PA-C
Physician Assistant (Surgical)
100 HITCHCOCK WAY, D-H MANCHESTER, GENERAL SURGERY
MANCHESTER, NH 03104
Hillsborough County (603) 695-2840
JONATHAN S LEE D.P.M
Podiatrist (Foot & Ankle Surgery)
100 HITCHCOCK WAY
MANCHESTER, NH 03104
Hillsborough County (603) 695-2998
DR. JASON AKERMAN MD
Urology
100 HITCHCOCK WAY
MANCHESTER, NH 03104
Hillsborough County (603) 629-8222
STEPHANIE W SCRIPTURE APRN
Nurse Practitioner
100 HITCHCOCK WAY
MANCHESTER, NH 03104
Hillsborough County (603) 695-2500
KEVIN Y RIVERA COLON MD
Radiology (Diagnostic Radiology)
100 HITCHCOCK WAY
MANCHESTER, NH 03104
Hillsborough County (603) 695-2500
JENNY LIN MD
Internal Medicine (Rheumatology)
100 HITCHCOCK WAY
MANCHESTER, NH 03104
Hillsborough County (603) 695-2500
REBECCA ELIZABETH KADISH M.D.
Anesthesiology
100 HITCHCOCK WAY
MANCHESTER, NH 03104
Hillsborough County (603) 695-2500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristin Detlefsen's NPI number?

The NPI number for Kristin Detlefsen is 1457436354. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Where is Kristin Detlefsen located?

Kristin Detlefsen practices at 100 Hitchcock Way, Manchester, NH 03104. The listed phone number is (603) 695-2500.

What is Kristin Detlefsen's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Kristin Detlefsen was last updated on June 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.