KAITLIN TORRES KOTNIK PA-C NPI 1861902835

NPI Information

NPI: 1861902835
Provider Name: KAITLIN TORRES KOTNIK, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
210 ASHVILLE AVE
CARY, NC
ZIP 27518
Phone: (919) 350-7331
Get Directions

Kaitlin Torres Kotnik, PA-C is a surgical physician assistant in Cary, NC with 7 years of experience. Kaitlin Torres Kotnik, PA-C NPI is 1861902835. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: CAMPBELL UNIV SCHOOL OF OSTEOPATHIC MEDICINE
Graduation Year:2017

The provider's business location address is:

210 ASHVILLE AVE
CARY, NC
ZIP 27518-676
Phone: (919) 350-7331

The NPI 1861902835 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/4/2017 and was last updated on 9/28/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	0010-12096	NORTH CAROLINA	Yes
2	363A00000X	Physician Assistant		0010-12096	NORTH CAROLINA	No
3	363A00000X	Physician Assistant		PA2017-0094	NEW MEXICO	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1861902835	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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