Individual provider · Type 1 NPI

Kimberly Brooke Rivera Bourke, PA-C

Physician Assistant · Elizabethtown, PA

NPI number 1992129142 Active

Practice location

530 E Cedar St
Elizabethtown, PA 17022-2516

Call (717) 588-1059 Map

Fax (717) 689-1246

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XMA057178 (PA)

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 1992129142

Kimberly Brooke Rivera Bourke, PA-C's National Provider Identifier is 1992129142, issued on Feb 8, 2014. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Elizabethtown, PA. The record was last updated on Feb 24, 2026.