Kimberly J. Prough, PAC
Physician Assistant · Indian Harbour Beach, FL
Practice location
2254 Highway a1aIndian Harbour Beach, FL 32937-4922
- Phone
- (321) 777-2273
- Fax
- (321) 779-7425
NPI record
- NPI
- 1902811698
- Entity type
- Individual (Type 1)
- Enumeration date
- July 30, 2006
- Last updated
- October 11, 2016
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X |
PA9104973 | FL |
| Physician Assistant | 363A00000X |
PA02977 | TX |
About Kimberly Prough
Kimberly J. Prough, PAC is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 2254 Highway a1a, Indian Harbour Beach, FL 32937-4922. The NPI number 1902811698 was assigned on July 30, 2006 and the record was last updated on October 11, 2016.
Kimberly Prough lists 2 licenses in the registry: #PA9104973 (FL) for Physician Assistant; #PA02977 (TX) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Kimberly J. Prough, PAC?
The NPI number is 1902811698.
What is the phone number of Kimberly Prough?
The phone number listed for the practice location is (321) 777-2273.
Where is Kimberly Prough located?
2254 Highway a1a, Indian Harbour Beach, FL 32937-4922.
What is the taxonomy code for Kimberly Prough?
The primary taxonomy code is 363A00000X – Physician Assistant; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Physician Assistant providers in Indian Harbour Beach
- Nicole Kristine Trio, PA-C7 Indian Harbour Ct
- Kristen Hoffower, PA-C890 E Eau Gallie Blvd
- Nicholle C. Rothengass, PA-C2254 Highway a1a
- Corey Smith, PA-C229 Shore Ln
All Physician Assistant providers in Indian Harbour Beach, FL →