Individual provider · Type 1 NPI

Kiara Camila Douglas, PA-C

Medical Physician Assistant · Lynchburg, VA

NPI number 1073402707 Active

Practice location

2405 Atherholt Rd
Lynchburg, VA 24501-2184

Call (434) 363-4133 Map

Mailing address

1810 Broadway St Unit 102
Lynchburg, VA 24501-5605

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X0110011293 (VA)

Medical Physician Assistant: Definition to come...

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About NPI 1073402707

Kiara Camila Douglas, PA-C's National Provider Identifier is 1073402707, issued on Jun 30, 2025. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lynchburg, VA. The record was last updated on Jan 19, 2026.