KARA JEAN KOBYLKA RUSSELL P.A. NPI 1164732673

NPI Information

NPI: 1164732673
Provider Name: KARA JEAN KOBYLKA RUSSELL, P.A.
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
1222 S ORANGE AVE
ORLANDO, FL
ZIP 32806
Phone: (407) 649-6878
Get Directions

Kara Jean Kobylka Russell, P.A. is a surgical physician assistant in Orlando, FL with 14 years of experience. Kara Jean Kobylka Russell, P.A. NPI is 1164732673. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1222 S ORANGE AVE
ORLANDO, FL
ZIP 32806-215
Phone: (407) 649-6878
Fax: (321) 843-2172

The NPI 1164732673 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 10/18/2010 and was last updated on 11/15/2016.

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	363A00000X	Physician Assistant		PA9105628	FLORIDA	No
2	363AS0400X	Physician Assistant	Surgical	PA9105628	FLORIDA	Yes

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	004172500	MEDICAID	FLORIDA
2	EQ794Y	MEDICARE PIN	FLORIDA
3	PA9105628	OTHER	FLORIDA	MEDICAL LICENSE

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: 4/28/2024

NPI Synchronization or Removal

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