Kseniya B Scime, PA
Physician Assistant, Medical in Concord, NC. Individual provider (NPI-1).
NPI number1902851207
StatusActive
Last updated in NPPESApr 8, 2020
Details
- NPI
- 1902851207
- Entity type
- Individual (NPI-1)
- Name
- Kseniya B Scime
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 24, 2006
- Certification date
- Apr 8, 2020
- Last updated
- Apr 8, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 102614 | NC | Yes |
Other names
- Kseniya Bogatova (Former Name)
Practice location
101 Cabarrus Ave EConcord, NC 28025-3699
Phone 888-849-7379 · Fax 855-857-7333
Mailing address
101 Cabarrus Ave EConcord, NC 28025-3699
Phone 888-849-7379 · Fax 855-857-7333
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