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

Kailey Koontz, PA-C

Individual provider Physician Assistant · NPI 1477146413

Kailey Koontz, PA-C is a Physician Assistant in Longwood, Florida. Qualified in 2020, 6 years ago. Practices with Orlando Carenow Urgent Care LLC, a 53-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
6
Licensed in
FL
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2180 W State Road 434 Ste 1124
Longwood, FL 32779-5008
Phone: (321) 972-1741
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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 PA9113974 (FL)

Record details

NPI number1477146413
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 19, 2021
Last updated in NPPESFebruary 19, 2021
Certification dateFebruary 19, 2021
Mailing address2601 S Ridgewood Ave, South Daytona, FL 32119-3537

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Orlando Carenow Urgent Care Llc — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

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