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

Kaitlin Jane Goulet

Individual provider Physician Assistant · NPI 1720778525

Kaitlin Jane Goulet is a Physician Assistant in Salisbury, North Carolina. Qualified in 2023, 3 years ago. Practices with Fairview Health Services, a 678-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
3
Licensed in
NC
In the registry since
2023
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Practice location Address checks out

612 Mocksville Ave
Salisbury, NC 28144-2732
Phone: (704) 210-5260
Fax: (704) 210-5265
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1906 Bohland Ave, Saint Paul, MN 55116-1908 — (651) 270-6699

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-14178 (NC)

Record details

NPI number1720778525
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 15, 2023
Last updated in NPPESMay 29, 2024
Certification dateMay 29, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Fairview Health Services — 678 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Salisbury