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

Kylie Tanabe, PA-C

Individual provider Physician Assistant · NPI 1417324344

Kylie Tanabe, PA-C is a Physician Assistant in Norwalk, Connecticut. Licensed in California and Connecticut. Registered with an NPI since 2015.

Licensed in
CA, CT
In the registry since
2015
Specialties on file
3
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

40 Prospect Ave Bldg 2 4C
Norwalk, CT 06850-3737
Phone: (207) 671-0235
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 54130 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 3407 (CT)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 3407 (CT)

Record details

NPI number1417324344
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 26, 2015
Last updated in NPPESFebruary 24, 2017

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