Active NPIIndividual provider

Kimberly A Lewis, PA -C

Physician Assistant in Jacksonville, North Carolina

NPI Number1669592457
Practice location
118 Memorial Dr, Jacksonville, NC 28546-6328
Fax
910-577-1150
Last updated
November 3, 2023

Kimberly A Lewis is a Physician Assistant based in Jacksonville, NC. Kimberly A Lewis practices in Jacksonville, NC and has the professional credentials of PA -C. The NPI Number for Kimberly A Lewis is 1669592457 and holds a License No. 103307 (NC). The current practice location address for Kimberly A Lewis is 118 Memorial Dr, Jacksonville, NC 28546-6328 and can be reached out via phone at 910-353-0581 and via fax at 910-577-1150.

Provider Profile Details

NPI Number
1669592457
Provider Name
Kimberly A Lewis
Credential
PA -C
Provider Entity Type
Individual
Gender
Female
Address
118 Memorial Dr, Jacksonville, NC 28546-6328
Phone Number
910-353-0581
Fax Number
910-577-1150
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
March 29, 2007
Last Update Date
November 3, 2023
Certification Date
November 3, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
118 Memorial Dr
Jacksonville, NC 28546-6328
Zip
28546-6328
Phone Number
910-353-0581
Fax Number
910-577-1150
Jacksonville, NC 28546Get directions →

Provider Business Mailing Address Details

Address
Po Box 986513
Department 100
Boston, MA 02298-6513
City
Boston
State
MA
Zip
02298-6513
Phone Number
910-219-8326
Fax Number
910-939-4269

License Information

License Number
103307
License State
NC
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kimberly A Lewis, PA -C?

The NPI number of Kimberly A Lewis, PA -C is 1669592457. It was assigned on March 29, 2007 and is currently active in the NPPES registry.

What is the specialty of Kimberly A Lewis, PA -C?

Kimberly A Lewis, PA -C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NC under license number 103307.

Where does Kimberly A Lewis, PA -C practice?

The practice location is 118 Memorial Dr, Jacksonville, NC 28546-6328. The office can be reached at 910-353-0581 (phone) or 910-577-1150 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1669592457 directly on the NPPES registry website.

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