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

Mrs. Kristen Amanda Ettlin, PA-C

Individual provider Physician Assistant · NPI 1548894454

Mrs. Kristen Amanda Ettlin, PA-C is a Physician Assistant in Columbia, Missouri. Licensed in Missouri. Registered with an NPI since 2020.

Licensed in
MO
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Partly verified

Some contact details are missing from the federal record.

Harry S Truman Memorial Veterans Hospital 800 Hospital Dr
Columbia, MO 65201
Phone: (573) 814-6565
Fax: (573) 814-6176
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2021001164 (MO)

Record details

NPI number1548894454
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 29, 2020
Last updated in NPPESSeptember 18, 2023
Certification dateSeptember 15, 2023

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