Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Annie Kavulich

Individual provider Physician Assistant · NPI 1679028013

Annie Kavulich is a Physician Assistant in Easton, Pennsylvania. Qualified in 2016, 10 years ago. Practices with St Lukes Warren Physician Group PC, a 378-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
10
Licensed in
PA
In the registry since
2016
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Practice location Address checks out

1600 St Lukes Blvd
Easton, PA 18045-5671
Phone: (908) 847-2830
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA058359 (PA)

Record details

NPI number1679028013
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 15, 2016
Last updated in NPPESDecember 30, 2025
Certification dateDecember 30, 2025
Mailing address1600 St Lukes Blvd, Easton, PA 18045-5671

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice St Lukes Warren Physician Group Pc — 378 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations9 on file with Medicare

Other providers in Easton