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Alexandria Nicole Kinzel

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

15825 Ballantyne Medical Pl Ste 100, Charlotte, NC 28277-0745

(704) 323-3400 (704) 323-2000

PECOS Enrollment

This provider is enrolled in PECOS as ALEXANDRIA KINZEL.

Based on the most recent information from CMS, provider Alexandria Nicole Kinzel is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1619461811
Provider Type
Individual
Full Name
Kinzel, Alexandria Nicole
Title
Mrs.
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
6/20/2018
Last Updated
11/6/2024

Contact Information

Practice Location

15825 Ballantyne Medical Pl Ste 100, Charlotte, NC 28277-0745

(704) 323-3400

Unlisted Fax

Mailing Location

4601 Park Rd Ste 300, Charlotte, NC 28209-2290

(704) 323-2000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 0010-13449 North Carolina

Alexandria Nicole Kinzel

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Gallo, Julie Helen

Robinson, Detra Chambers

Sheldon, Jennifer Shields

Delaney, Paul Patrick

Patel, Hershal

Pounds, Parker Elizabeth

Griffin, Noelle A

Bevins, Melissa Haikal

Krol, Alicia Marie Pielow

Swope, William