Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miss. Carly Ann Kindbom, PA-C

Individual provider Physician Assistant · NPI 1609244300

Miss. Carly Ann Kindbom, PA-C is a Physician Assistant in Philadelphia, Pennsylvania. Qualified in 2015, 11 years ago. Practices with University of Penn-Medical Group, a 3,401-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
11
Licensed in
PA
In the registry since
2015
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

3400 Civic Center Blvd East Pavilion 2nd Fl
Philadelphia, PA 19104-4306
Phone: (215) 615-4949
Fax: (215) 615-0829
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Cooper Plz, Camden, NJ 08103-1461 — (609) 410-7953

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA058356 (PA)

Record details

NPI number1609244300
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedSeptember 11, 2015
Last updated in NPPESDecember 9, 2022
Certification dateDecember 9, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice University Of Penn-Medical Group — 3401 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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