Provider Demographics
NPI:1649019720
Name:MCDANIEL, KARA (PA)
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:
Last Name:MCDANIEL
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Gender:F
Credentials:PA
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Mailing Address - Street 1:2817 RICK MERRITT AVE
Mailing Address - Street 2:
Mailing Address - City:FORT BRAGG
Mailing Address - State:NC
Mailing Address - Zip Code:28310-4781
Mailing Address - Country:US
Mailing Address - Phone:910-907-8922
Mailing Address - Fax:910-901-6069
Practice Address - Street 1:2817 ROCK MERRITT AVE
Practice Address - Street 2:
Practice Address - City:FORT BRAGG
Practice Address - State:NC
Practice Address - Zip Code:28310-4781
Practice Address - Country:US
Practice Address - Phone:910-907-8922
Practice Address - Fax:910-901-6069
Is Sole Proprietor?:No
Enumeration Date:2024-05-20
Last Update Date:2025-05-22
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant