Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 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 Not confirmed with CMS for 10 years — call before visiting
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

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients135
Services billed 399 a service is one billed item, such as a visit, a test or a procedure
Average patient age77

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

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