Individual provider · Type 1 NPI

Kourtney Lauren Gates, PA-C

Physician Assistant · Johnstown, PA

NPI number 1669155933 Active

Practice location

100 Susan Dr
Johnstown, PA 15905-2826

Call (814) 255-1963 Map

Mailing address

1531 Gillespie Ave
Portage, PA 15946-1426

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA9117719 (FL)
Physician Assistant 363A00000XOA007470 (PA)
Physician Assistant 363A00000XMA066595 (PA)

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 1669155933

Kourtney Lauren Gates, PA-C's National Provider Identifier is 1669155933, issued on Aug 11, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Johnstown, PA. The record was last updated on Sep 26, 2025.