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

KIMBERLEY CARUSO, PA-C

Active

KIMBERLEY CARUSO, PA-C is a Physician Assistant healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1639881212 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · PHILADELPHIA, PA

Registration Details

NPI Number
1639881212
Provider Type
Individual
Gender
Female
NPI Issued
Dec 15, 2022 (3.6608935409056 yrs)
Last Updated
Jan 2, 2025
Licenses
25MP00893400 (NJ)
MA064253 (PA)

Practice Information

Address
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA, 191044319
Browse PA providers · Browse ZIP 19104
Phone
2155901000
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in PHILADELPHIA, PA

Name Credential NPI
WILLIAM J GLASSMIRE PAC 1154329944
JOHN M. CAVENAGH PA 1649271313
CHRISTINA L CHAMBLEY PA-C 1568463073
BIANCA IVETTE SANTIAGO PA-C 1952385197
SANDRA Q MCCARTHY PA C 1770569311
PAUL D BRADFORD PA-C 1588641435
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.