BETHANY HUNT KASSOUF PA-C NPI 1265752794

NPI Information

NPI: 1265752794
Provider Name: BETHANY HUNT KASSOUF, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
MEDICAL CENTER BLVD
WAKE FOREST UNIVERSITY HEALTH SCIENCES
WINSTON SALEM, NC
ZIP 27157
Phone: (336) 716-2011
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Bethany Hunt Kassouf, PA-C is a medical physician assistant in Winston Salem, NC. Bethany Hunt Kassouf, PA-C NPI is 1265752794. 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:

MEDICAL CENTER BLVD
WAKE FOREST UNIVERSITY HEALTH SCIENCES
WINSTON SALEM, NC
ZIP 27157-001
Phone: (336) 716-2011

The NPI 1265752794 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 6/7/2010 and was last updated on 6/27/2014.

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	363AM0700X	Physician Assistant	Medical	0010-02330	NORTH CAROLINA	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	2762342	MEDICARE PIN	NORTH CAROLINA
2	NCF889A	MEDICARE PIN	NORTH CAROLINA

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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