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

Kim Staples, RPA-C

Individual provider Medical Physician Assistant · NPI 1538597463

Kim Staples, RPA-C is a Medical Physician Assistant in East Northport, New York. Licensed in New York. Registered with an NPI since 2013.

Licensed in
NY
In the registry since
2013

Practice location Address checks out

554 Larkfield Rd Ste 101
East Northport, NY 11731-4205
Phone: (631) 386-9166
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 017142 (NY)

Record details

NPI number1538597463
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPA-C
Sole proprietorNo
NPI enumeratedNovember 1, 2013
Last updated in NPPESMay 31, 2016

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