Provider Demographics
NPI:1063105666
Name:SATTERFIELD, KARA NICOLE (PA)
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:NICOLE
Last Name:SATTERFIELD
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 WATER OAK DR
Mailing Address - Street 2:
Mailing Address - City:HILTON HEAD ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29928-3009
Mailing Address - Country:US
Mailing Address - Phone:336-420-4837
Mailing Address - Fax:
Practice Address - Street 1:32 WATER OAK DR
Practice Address - Street 2:
Practice Address - City:HILTON HEAD ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29928-3009
Practice Address - Country:US
Practice Address - Phone:336-420-4837
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-30
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1205969363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical