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

KIM STAPLES, RPA-C

Active

KIM STAPLES, RPA-C is a Medical Physician Assistant healthcare provider located in EAST NORTHPORT, New York. NPI 1538597463 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · EAST NORTHPORT, NY

Registration Details

NPI Number
1538597463
Provider Type
Individual
Gender
Female
NPI Issued
Nov 1, 2013 (12.830990498422 yrs)
Last Updated
May 31, 2016
License
017142 (NY)

Practice Information

Address
554 LARKFIELD RD
STE 101
EAST NORTHPORT, NY, 117314205
Browse NY providers · Browse ZIP 11731
Phone
6313869166
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in EAST NORTHPORT, NY

Name Credential NPI
JUSTINE ANN DEL BARRIO 1982007027
NINA ERIN CALLAHAN PA 1083440325
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.