MEDICARE: KARA FRAZIER CLAPP 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	363AM0700X	Medical Physician Assistant	0010-15017	NC
2	363A00000X	Physician Assistant	0010-15017	NC

General Provider Information

NPI Number	:	1699593962
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARA FRAZIER CLAPP PA-C

Provider Business Mailing Address
First Line	:	7031 DAVIS COUNTRY RD
Second Line	:
City	:	RANDLEMAN
State	:	NC
Zip	:	27317-7166
Country	:	US
Telephone Number	:	336-880-3768
Fax Number	:

Provider Business Practice Location Address
First Line	:	4620 WOODY MILL RD STE G
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27406-8779
Country	:	US
Telephone Number	:	336-907-3907
Fax Number	:

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

Provider Enumeration Date	:	09/26/2024
Last Update Date	:	03/18/2025

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