Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ken Kim Kristofferson, PA

Individual provider Physician Assistant · NPI 1154341584

Ken Kim Kristofferson, PA is a Physician Assistant in El Paso, Texas. Qualified in 1999, 27 years ago. Practices with Rio Grande Urology PA, a 28-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
27
Licensed in
TX
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

7420 Remcon Cir Bldg A
El Paso, TX 79912
Phone: (915) 532-8823
Fax: (915) 532-5909
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA02936 (TX)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA02936 (TX)

Record details

NPI number1154341584
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 20, 2006
Last updated in NPPESJune 17, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Rio Grande Urology Pa — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in El Paso