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

Kimberly Mallick Fillman, PA

Individual provider Physician Assistant · NPI 1578563235

Kimberly Mallick Fillman, PA is a Physician Assistant in Bolivia, North Carolina. Licensed in North Carolina. Registered with an NPI since 2005.

Licensed in
NC
In the registry since
2005
Specialties on file
2
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

240 Hospital Dr NE
Bolivia, NC 28422-8346
Phone: (843) 497-5929
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 101827 (NC)
Physician Assistant Taxonomy 363A00000X · Licence 101827 (NC)

Record details

NPI number1578563235
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 26, 2005
Last updated in NPPESJuly 15, 2020
Certification dateJuly 15, 2020

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