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

Kevin Bruce George, PA

Individual provider Medical Physician Assistant · NPI 1104808674

Kevin Bruce George, PA is a Medical Physician Assistant in North Wilkesboro, North Carolina. Licensed in North Carolina, New York and Pennsylvania. Registered with an NPI since 2005.

Licensed in
NC, NY, PA
In the registry since
2005
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1917 W Park Dr
North Wilkesboro, NC 28659-3585
Phone: (336) 903-7845
Fax: (336) 903-7841
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 103761 (NC)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 010847 (NY)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence MA052674 (PA)

Record details

NPI number1104808674
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 18, 2005
Last updated in NPPESOctober 26, 2016

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