| Doctor Name: | PAMELA N KINGERY |
| NPI Number: | 1023038593 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 14561 |
| Business Practice Address: | 1000 Vale Terrace Dr Vista, CA - 920845218 |
| Business Phone Number: | 7604071220 |
| Business Fax Number: | |
| Mailing Address: | Po Box 322, SAINT JO |
| State: | TX |
| Postal Code: | 762650322 |
| Phone Number: | 9407041293 |
| Fax Number: | |
| NPI Enumeration Date: | 07/20/2006 |
| NPI Last Update Date: | 01/05/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | 14561 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |