Nicole Jade Kobak-Birk, PA-C
Physician Assistant in Berea, OH. Individual provider (NPI-1).
NPI number1609460906
StatusActive
Last updated in NPPESMay 1, 2026
Details
- NPI
- 1609460906
- Entity type
- Individual (NPI-1)
- Name
- Nicole Jade Kobak-Birk
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 26, 2021
- Certification date
- May 1, 2026
- Last updated
- May 1, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 50.007025RX | OH | Yes |
Practice location
275 Eastland RdBerea, OH 44017-2005
Phone 440-826-2221
Mailing address
6847 N Chestnut StRavenna, OH 44266-3929
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All 20 Physician Assistant providers in Berea · All 659 providers in Berea
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