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

Kaydee Bork, PAC

Individual provider Physician Assistant · NPI 1669579850

Kaydee Bork, PAC is a Physician Assistant in San Diego, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

11515 El Camino Real Suit 150
San Diego, CA 92130
Phone: (858) 720-1440
Fax: (858) 509-7738
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (CA)

Record details

NPI number1669579850
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedSeptember 20, 2006
Last updated in NPPESAugust 30, 2013

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