Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kirstyn Lee Vega, PA-C

Individual provider Physician Assistant · NPI 1184961435

Kirstyn Lee Vega, PA-C is a Physician Assistant in Charlotte, North Carolina. Qualified in 2012, 14 years ago. Practices with Skin Surgery Center PA, a 71-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
14
Licensed in
NC
In the registry since
2013
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

10512 Park Rd Ste 113
Charlotte, NC 28210-8475
Phone: (704) 542-8018
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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 0010-04007 (NC)

Record details

NPI number1184961435
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 7, 2013
Last updated in NPPESApril 28, 2021
Certification dateApril 28, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Skin Surgery Center Pa — 71 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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