Individual provider · Type 1 NPI

Nicole Mary Kanin, PA

Physician Assistant · Winston Salem, NC

NPI number 1760769509 Active

Practice location

2337 Winterhaven Ln
Winston Salem, NC 27103-6792

Fax (336) 277-4349

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice locations

  • 1750 Kernersville Medical Pkwy, Kernersville, NC 27284-7146 · (630) 470-3572
  • 6915 Village Medical Cir, Clemmons, NC 27012-8002 · (630) 470-3572

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X015270-1 (NY)
Physician Assistant Primary 363A00000X0010-03589 (NC)

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 1760769509

Nicole Mary Kanin, PA's National Provider Identifier is 1760769509, issued on Nov 8, 2011. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Winston Salem, NC. The record was last updated on Mar 31, 2026.