MEDICARE: KATHRYN BELL 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

General Provider Information

NPI Number	:	1861162422
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHRYN BELL PA-C

Provider Business Mailing Address
First Line	:	3541 RANDOLPH RD STE 301
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28211-5027
Country	:	US
Telephone Number	:	704-335-9794
Fax Number	:	704-332-2329

Provider Business Practice Location Address
First Line	:	3541 RANDOLPH RD STE 301
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28211-5027
Country	:	US
Telephone Number	:	704-335-9794
Fax Number	:	704-332-2329

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

Provider Enumeration Date	:	09/15/2021
Last Update Date	:	06/11/2025

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