Kyle Blood, PA-C
Physician Assistant in Camp Lejeune, NC. Individual provider (NPI-1).
NPI number1336688779
StatusActive
Last updated in NPPESOct 7, 2025
Details
- NPI
- 1336688779
- Entity type
- Individual (NPI-1)
- Name
- Kyle Blood
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 17, 2017
- Certification date
- Oct 7, 2025
- Last updated
- Oct 7, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
100 Brewster BlvdCamp Lejeune, NC 28547-2575
Phone 910-450-4840
Mailing address
100 Brewster BlvdCamp Lejeune, NC 28547-2575
Phone 910-450-4500
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Physician Assistant providers in Camp Lejeune, NC
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- Daniel Edward Bloom, PHYSICIAN ASSISTANTNPI 1598301632
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- Lee Edward Boujie, PA-CNPI 1962734921
- Lisa Brandt, PANPI 1932094042
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All 60 Physician Assistant providers in Camp Lejeune · All 1,440 providers in Camp Lejeune
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