Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Ken Kim Kristofferson, PA
Physician Assistant in El Paso, TX · enumerated 2006.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1154341584
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Registry record
Entity type Individual (Type 1)
Name Ken Kim Kristofferson
Credential PA
Sex Male
Practice address 7420 Remcon Circle, Bldg. A, El Paso, TX, 79912
Phone (915) 532-8823
Fax (915) 532-5909
Enumeration date Jul 20, 2006
Last updated in NPPES Jun 17, 2014
Taxonomy & licenses
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA02936 (TX) Primary
363AS0400X Surgical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA02936 (TX) Secondary
PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program.
About the PA credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA02936 | Other | TX | PA LICENSE |
| 192820202 | Medicaid | TX | - |
| 76300323 | Medicaid | NM | - |
| 192820203 | Medicaid | TX | - |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
What specialty is Ken Kristofferson?
Ken Kristofferson is registered in NPPES with the primary taxonomy of Physician Assistant. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
Other providers at this practice address
Browse all →Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-06-17.