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

Mary Katherine Kimball, PA

Individual provider Physician Assistant · NPI 1184050874

Mary Katherine Kimball, PA is a Physician Assistant in Jacksonville, Florida. Qualified in 2013, 13 years ago. Practices with Mayo Clinic Jacksonville, a 1,581-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida and Texas.

Years since qualifying
13
Licensed in
FL, TX
In the registry since
2013
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

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone: (904) 953-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 — (904) 953-2000
  • 1032 S Ww White Rd, San Antonio, TX 78220-2531 — (210) 447-3033

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9112061 (FL)
Physician Assistant Taxonomy 363A00000X · Licence PA08782 (TX)

Record details

NPI number1184050874
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 25, 2013
Last updated in NPPESSeptember 1, 2020
Certification dateSeptember 1, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Mayo Clinic Jacksonville — 1581 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Jacksonville