Provider Demographics
NPI:1922431931
Name:ALMEIDA, KAITLYN A (PA-C)
Entity Type:Individual
Prefix:
First Name:KAITLYN
Middle Name:A
Last Name:ALMEIDA
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1910 HIGHWAY 35
Mailing Address - Street 2:
Mailing Address - City:OAKHURST
Mailing Address - State:NJ
Mailing Address - Zip Code:07755-2715
Mailing Address - Country:US
Mailing Address - Phone:732-531-0100
Mailing Address - Fax:732-531-0144
Practice Address - Street 1:1910 HIGHWAY 35
Practice Address - Street 2:
Practice Address - City:OAKHURST
Practice Address - State:NJ
Practice Address - Zip Code:07755-2715
Practice Address - Country:US
Practice Address - Phone:732-531-0100
Practice Address - Fax:732-531-0144
Is Sole Proprietor?:No
Enumeration Date:2013-08-13
Last Update Date:2018-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MP00308100363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical