| Provider / Organization | NPI | Date Certified |
|---|---|---|
| AMBER DEAN KAGEN | 1487193322 | 2021-10-10 |
Amber Dean Race [F] graduated in 2017 and primarily specializes in Physician Assistant.
Amber Dean Kagen is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1487193322. Registration indicates Amber Dean Kagen is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)
| PECOS ID | 1951679372 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Amber Dean Kagen PA-C |
| Practice Office Address | 1220 SPRUCE ST BELMONT, NC US |
| Practice Office Telephone | 7048255333 |
| Practice Office Fax | 7048251751 |
| Mailing Address | 1220 SPRUCE ST BELMONT, NC 280123370 US |
| Business Telephone | 7048342450 |
| Business Fax | 7048251751 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 2525 Court Dr | Gastonia, NC 280542140 | 7048342000 |
| Code | Practice | License No State |
|---|---|---|
| 363A00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant All Other Specialties & Provider Types Physician Assistant Physician Assistants & Advanced Practice Nursing Providers | 0010-07144
NC |