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

MS. Kim Lauren Trahan, PA

Individual provider Physician Assistant · NPI 1922073709

MS. Kim Lauren Trahan, PA is a Physician Assistant in Vestal, New York. Qualified in 1998, 28 years ago. Works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
28
Licensed in
NY
In the registry since
2006
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

421 Plaza Dr
Vestal, NY 13850-3658
Phone: (607) 771-1700
Fax: (607) 873-1824
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1715 Castle Gardens Rd, Vestal, NY 13850-1175 — (607) 748-5700

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 006561-1 (NY)

Record details

NPI number1922073709
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 23, 2006
Last updated in NPPESNovember 20, 2024
Certification dateNovember 20, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Vestal