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NPI Code Detail

MEDICARE: BRAXTON KINSEY PA-C

MEDICARE: BRAXTON KINSEY PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant0010-06266NC

General Provider Information

NPI Number : 1447610597
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRAXTON KINSEY PA-C
Provider Business Mailing Address
First Line : 1490 WILLIAMSBORO ST
Second Line :
City : OXFORD
State : NC
Zip : 27565-3498
Country : US
Telephone Number : 919-693-3972
Fax Number : 919-693-1700
Provider Business Practice Location Address
First Line : 1490 WILLIAMSBORO ST
Second Line :
City : OXFORD
State : NC
Zip : 27565-3498
Country : US
Telephone Number : 919-693-3972
Fax Number : 919-693-1700
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2016
Last Update Date : 03/10/2026

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Directions to “ BRAXTON KINSEY PA-C” Practice Location

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