Individual provider · Type 1 NPI

Charles Kenji Carragher, PA

Surgical Physician Assistant · Pensacola, FL

NPI number 1518207331 Active

Practice location

5147 N 9th Ave, Suite 322
Pensacola, FL 32504-8771

Fax (850) 477-6021

Mailing address

5548 Charbar Dr
Pensacola, FL 32526-6502

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA9106937 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1518207331

Charles Kenji Carragher, PA's National Provider Identifier is 1518207331, issued on Feb 15, 2013. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Pensacola, FL. The record was last updated on Feb 15, 2013.