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

Kathleen McKenna Ruhlin Primm, PA-C

Individual provider Surgical Physician Assistant · NPI 1104267749

Kathleen McKenna Ruhlin Primm, PA-C is a Physician Assistant in Orange Park, Florida. Qualified in 2013, 13 years ago. Practices with Florida Trauma Services LLC, a 93-clinician group and accepts Medicare assignment. Licensed in Florida and Ohio.

Years since qualifying
13
Licensed in
FL, OH
In the registry since
2013
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

1887 Kingsley Ave Ste 1900
Orange Park, FL 32073-1559
Phone: (904) 276-2549
Fax: (904) 276-9235
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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 PA9109278 (FL)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 50.003862 (OH)

Record details

NPI number1104267749
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 11, 2013
Last updated in NPPESJune 26, 2023
Certification dateJune 26, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Florida Trauma Services Llc — 93 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Orange Park