NPI age
19 years
Enumerated 2006-07-20
● Active
Type 1 · Individual
Ken Kim Kristofferson, PA
Kristofferson is 1 of 164 physician assistant providers in El Paso and 1 of 11022 in Texas.
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2014-06-17
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 11022 active physician assistant providers in Texas.
NPI age
19 years
↑ 9 yr above median (10 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
1
In the 23% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-07Enumerated in NPPES
2006
2026
Where they practice
Practice location
7420 Remcon Circle, Bldg. A
El Paso, TX 79912
Mailing address
7420 Remcon Cir, Bldg A
El Paso, TX 799123529
Specialties
-
Physician Assistant PrimaryA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
-
Physician AssistantDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | PA02936 | PA LICENSE |
| 05 (TX) | 192820202 | |
| 05 (NM) | 76300323 | |
| 05 (TX) | 192820203 |
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
Recently enumerated nearby: 1 new physician assistant provider has been added in El Paso in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.