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

Kathlyn Lara Penick, PA

Individual provider Physician Assistant · NPI 1558091157

Kathlyn Lara Penick, PA is a Physician Assistant in Orange City, Florida. Licensed in Florida. Registered with an NPI since 2022.

Licensed in
FL
In the registry since
2022
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

2824 Enterprise Rd
Orange City, FL 32763-8428
Phone: (386) 774-7411
Fax: (386) 774-7412
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9116046 (FL)

Record details

NPI number1558091157
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 15, 2022
Last updated in NPPESJuly 7, 2026
Certification dateJuly 7, 2026

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