Individual provider · Type 1 NPI

Kimberly J. Prough, PAC

Physician Assistant · Indian Harbour Beach, FL

NPI number 1902811698 Active

Practice location

2254 Highway A1A
Indian Harbour Beach, FL 32937-4922

Call (321) 777-2273 Map

Fax (321) 779-7425

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA9104973 (FL)
Physician Assistant 363A00000XPA02977 (TX)

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 1902811698

Kimberly J. Prough, PAC's National Provider Identifier is 1902811698, issued on Jul 30, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Indian Harbour Beach, FL. The record was last updated on Oct 11, 2016.