Provider Demographics
NPI:1679581391
Name:SUTTON, KARA A (PA-C)
Entity type:Individual
Prefix:MS
First Name:KARA
Middle Name:A
Last Name:SUTTON
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
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Mailing Address - Street 1:1 ATWELL RD
Mailing Address - Street 2:
Mailing Address - City:COOPERSTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:13326-1394
Mailing Address - Country:US
Mailing Address - Phone:607-547-4586
Mailing Address - Fax:607-547-4731
Practice Address - Street 1:1 ATWELL RD
Practice Address - Street 2:
Practice Address - City:COOPERSTOWN
Practice Address - State:NY
Practice Address - Zip Code:13326-1394
Practice Address - Country:US
Practice Address - Phone:607-547-4586
Practice Address - Fax:607-547-4731
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2021-07-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA005617363A00000X
NC0010-00718363A00000X
VA0110002784363A00000X
NY014390363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant