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

Kaitlyn Ann Coucoules

Individual provider Physician Assistant · NPI 1992164669

Kaitlyn Ann Coucoules is a Physician Assistant in Leonardtown, Maryland. Qualified in 2015, 11 years ago. Practices with H Lee Moffitt Cancer Ctr and Res Inst Life Time Cancer Scrn Ctr Inc, a 1,135-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
11
Licensed in
MD
In the registry since
2016

Practice location Address checks out

23000 Moakley St Ste 102
Leonardtown, MD 20650-2915
Phone: (301) 475-5555
Fax: (301) 475-5914
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence C06063 (MD)

Record details

NPI number1992164669
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 23, 2016
Last updated in NPPESDecember 9, 2016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice H Lee Moffitt Cancer Ctr And Res Inst Life Time Cancer Scrn Ctr Inc — 1135 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Leonardtown