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

Kimberly J Prough, PAC

Individual provider Physician Assistant · NPI 1902811698

Kimberly J Prough, PAC is a Physician Assistant in Indian Harbour Beach, Florida. Licensed in Florida and Texas. Registered with an NPI since 2006.

Licensed in
FL, TX
In the registry since
2006
Specialties on file
2
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

2254 Highway A1A
Indian Harbour Beach, FL 32937-4922
Phone: (321) 777-2273
Fax: (321) 779-7425
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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 PA9104973 (FL)
Physician Assistant Taxonomy 363A00000X · Licence PA02977 (TX)

Record details

NPI number1902811698
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedJuly 30, 2006
Last updated in NPPESOctober 11, 2016
Mailing address2254 Highway A1a, Indian Harbour Beach, FL 32937-4922

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