Individual provider · Type 1 NPI

Katie Lynn Bacon, PA-C

Physician Assistant · Virginia Beach, VA

NPI number 1952017519 Active

Practice location

3745 Holland Rd Ste 200
Virginia Beach, VA 23452-2866

Mailing address

1009 S Kent St
Winchester, VA 22601-4571

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X1180756 (VA)
Physician Assistant Primary 363A00000X0110009105 (VA)

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 1952017519

Katie Lynn Bacon, PA-C's National Provider Identifier is 1952017519, issued on Jan 26, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Virginia Beach, VA. The record was last updated on Mar 20, 2023.