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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. GAELYN ELLIOTT YOUNG KRICKOVIC, PA

Active Sole Proprietor

MRS. GAELYN ELLIOTT YOUNG KRICKOVIC, PA is a Physician Assistant healthcare provider located in KERNERSVILLE, North Carolina. NPI 1194594036 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · KERNERSVILLE, NC

Registration Details

NPI Number
1194594036
Provider Type
Individual
Gender
Female
NPI Issued
Dec 20, 2023 (2.6400858729993 yrs)
Last Updated
Aug 22, 2024
Licenses
5019933 (NC)
0010-14225 (NC)
Sole Proprietor
Yes

Practice Information

Address
1730 KERNERSVILLE MEDICAL PKWY STE 104
KERNERSVILLE, NC, 272847198
Browse NC providers · Browse ZIP 27284
Phone
3367655470
Fax
3364995428
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Pediatric Nurse Practitioner
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in KERNERSVILLE, NC

Name Credential NPI
SHELLY WARREN DARTY PAC 1013990712
BILL ALLEN RICKETTS PA 1730149824
JON ANDREW SECREST PA 1811957871
LEE ALEXANDER GRAY PA 1215990601
JASON R HEGGERICK PA-C 1942250105
BRANDY L EMBRY PA 1790736064
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.