Individual provider · Type 1 NPI

Kira Traktovenko, PA-C

Physician Assistant · Philadelphia, PA

NPI number 1720686728 Active

Practice location

1500 Walnut St Fl 21
Philadelphia, PA 19102-3521

Call (215) 545-5630 Map

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XNone listed
Physician Assistant Primary 363A00000XNone listed

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 1720686728

Kira Traktovenko, PA-C's National Provider Identifier is 1720686728, issued on Oct 12, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Philadelphia, PA. The record was last updated on Nov 13, 2025.