Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATHLYN LARA PENICK, PA
ActiveKATHLYN LARA PENICK, PA is a Physician Assistant healthcare provider located in ORANGE CITY, Florida. NPI 1558091157 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · ORANGE CITY, FL
Registration Details
- NPI Number
- 1558091157
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 15, 2022 (4.1493928896032 yrs)
- Last Updated
- Feb 10, 2025
- License
-
PA9116046 (FL)
Practice Information
- Address
-
2824 ENTERPRISE RDORANGE CITY, FL, 327638428Browse FL providers · Browse ZIP 32763
- Phone
- 3867747411
- Fax
- 3867747412
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in ORANGE CITY, FL
| Name | Credential | NPI |
|---|---|---|
| ALFREDO T LIM JR. | PA-C | 1952365926 |
| AYA PAULEY | PA-C | 1477502888 |
| NATASHA L TAYLOR | PA - C | 1447264338 |
| ASHLEY REED MANRESA | PA-C | 1265681522 |
| LAURIE DIANNE LETIZIA | PA-C | 1245596600 |
| DAMARIS AGE | PA-C | 1023360294 |
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.