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

Nicole Mary Kanin, PA

Individual provider Physician Assistant · NPI 1760769509

Nicole Mary Kanin, PA is a Physician Assistant in Winston Salem, North Carolina. Works from 3 locations. Licensed in North Carolina and New York.

Licensed in
NC, NY
In the registry since
2011
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

2337 Winterhaven Ln
Winston Salem, NC 27103-6792
Phone: (336) 774-0044
Fax: (336) 277-4349
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 6915 Village Medical Cir, Clemmons, NC 27012-8002 — (630) 470-3572
  • 1750 Kernersville Medical Pkwy, Kernersville, NC 27284-7146 — (630) 470-3572

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-03589 (NC)
Physician Assistant Taxonomy 363A00000X · Licence 015270-1 (NY)

Record details

NPI number1760769509
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 8, 2011
Last updated in NPPESMarch 31, 2026
Certification dateMarch 31, 2026

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