Individual provider · Type 1 NPI

Derek Kelly Coburn, P.A.

Physician Assistant · Charlotte, NC

NPI number 1861851784 Active

Practice location

2001 Vail Ave
Charlotte, NC 28207-1248

Call (208) 863-8974 Map

Mailing address

3740 Wendwood Ln Apt 108
Charlotte, NC 28211-1257

Other practice locations

  • 14214 Ballantyne Lake Rd Ste 100, Charlotte, NC 28277-3373 · (704) 667-2650

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician 207P00000X001006199 (NC)
Physician Assistant Primary 363A00000X0010-06199 (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 1861851784

Derek Kelly Coburn, P.A.'s National Provider Identifier is 1861851784, issued on Feb 19, 2016. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Charlotte, NC. The record was last updated on Jun 10, 2020.