Individual provider · Type 1 NPI

Caelan River Scott Kivette, PA

Medical Physician Assistant · Durham, NC

NPI number 1336573633 Active

Practice location

3140 Rowena Ave
Durham, NC 27703-4447

Call (860) 918-0020 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X031107-01 (NY)
Medical Physician Assistant Primary 363AM0700X0010-04332 (NC)

Medical Physician Assistant: Definition to come...

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About NPI 1336573633

Caelan River Scott Kivette, PA's National Provider Identifier is 1336573633, issued on Aug 22, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Durham, NC. The record was last updated on Apr 3, 2024.