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NPI Code Detail

MEDICARE: KERRIE MICHELLE PARAS PA-C

MEDICARE: KERRIE MICHELLE PARAS 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 Assistant0110005556VA
2363A00000XPhysician AssistantC0009854MD

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CB241845OTHERCAMEDICARE ID

General Provider Information

NPI Number : 1730411802
Entity Type Code : Individual
Provider Name (Legal Business Name) : KERRIE MICHELLE PARAS PA-C
Provider Business Mailing Address
First Line : 5000 COX RD
Second Line :
City : GLEN ALLEN
State : VA
Zip : 23060-9263
Country : US
Telephone Number : 804-968-5700
Fax Number :
Provider Business Practice Location Address
First Line : 2051 WEST ST
Second Line :
City : ANNAPOLIS
State : MD
Zip : 21401-3006
Country : US
Telephone Number : 443-603-0758
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2010
Last Update Date : 06/11/2025

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Directions to “ KERRIE MICHELLE PARAS PA-C” Practice Location

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