MEDICARE: MEGAN NICOLE KAIN 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
1	363A00000X	Physician Assistant	0010-08489	NC

General Provider Information

NPI Number	:	1780153239
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN NICOLE KAIN PA-C

Provider Business Mailing Address
First Line	:	PO BOX 23329
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10087-3329
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7209 CREEDMOOR RD STE 105
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27613-1695
Country	:	US
Telephone Number	:	919-307-9461
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/14/2018
Last Update Date	:	04/07/2026

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