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

Kallie M Bashor, PA-C

Individual provider Medical Physician Assistant · NPI 1033525282

Kallie M Bashor, PA-C is a Medical Physician Assistant in Fountain Hill, Pennsylvania. Licensed in Pennsylvania and Wisconsin. Registered with an NPI since 2014.

Licensed in
PA, WI
In the registry since
2014
Specialties on file
2
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

830 Ostrum St
Fountain Hill, PA 18015-1013
Phone: (908) 859-6722
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence MA057499 (PA)
Physician Assistant Taxonomy 363A00000X · Licence 3351-23 (WI)

Record details

NPI number1033525282
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 9, 2014
Last updated in NPPESOctober 9, 2015
Mailing address2033 W Highland St, Allentown, PA 18104-3741

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