Individual provider · Type 1 NPI

Kyndra Michele Sousa, PA-C

Medical Physician Assistant · Fresno, CA

NPI number 1649543372 Active

Practice location

2823 Fresno St
Fresno, CA 93721-1324

Call (559) 459-2065 Map

Mailing address

2625 E Divisadero St
Fresno, CA 93721-1431

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X51393 (CA)
Physician Assistant 363A00000XPA51393 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1649543372

Kyndra Michele Sousa, PA-C's National Provider Identifier is 1649543372, issued on Feb 10, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fresno, CA. The record was last updated on Feb 24, 2026.