NPI 1316202229 · live from the CMS NPI Registry
Kaitlyn Ale, PA-C
Physician Assistant, Medical in Fort Gordon, GA. National Provider Identifier 1316202229, active.
NPI record
| NPI | 1316202229 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Medical 363AM0700X |
| Practice location | 300 W Hospital Rd, Fort Gordon, GA 30905 |
| Practice phone | 706-787-1696 |
| Mailing address | 1 Kindt Rd, Danville, PA 17821 |
| Enumerated | July 6, 2012 |
| Last updated | April 26, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Physician Assistant, Medical primary | 363AM0700X | — (PA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.