Individual provider · Type 1 NPI

Kathleen McKenna Ruhlin Primm, PA-C

Physician Assistant · Jacksonville, FL

NPI number 1104267749 Active

Practice location

14546 Old Saint Augustine Rd Ste 407
Jacksonville, FL 32258-5473

Call (904) 262-3372 Map

Fax (904) 262-3306

Mailing address

11945 San Jose Blvd Ste 300
Jacksonville, FL 32223-1627

Specialties and licenses

Taxonomy	Code	License
Surgical Physician Assistant	363AS0400X	50.003862 (OH)
Physician Assistant Primary	363A00000X	PA9109278 (FL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1104267749

Kathleen McKenna Ruhlin Primm, PA-C's National Provider Identifier is 1104267749, issued on Jul 11, 2013. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Jacksonville, FL. The record was last updated on Sep 25, 2026.