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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PANPAN KO THET
NPI 1821806340
Physician Assistant in Fayetteville, NC

Active since December 30, 2024
217 GLENSFORD DR STE A, FAYETTEVILLE, NC 28314(910) 483-4647 Get Directions Write a Review

NPPES record last updated: October 27, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 27, 2026, Dec 30, 2024 (2 updates tracked since 2024).

About Panpan Ko Thet NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PANPAN KO THET (NPI 1821806340) is an individual physician assistant in Fayetteville, North Carolina, licensed in North Carolina (1246112) and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1821806340
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NamePANPAN KO THET
Location Address217 GLENSFORD DR STE AFayetteville, NC 28314-0892
Mailing Address1500 1st Ave N Unit 3Birmingham, AL 35203-1866
Phone(910) 483-4647
Sole ProprietorYes
Enumeration DateDecember 30, 2024
Last NPPES UpdateOctober 27, 20262 updates tracked since enumeration
NPPES CertifiedOctober 27, 2026
✔ NPI 1821806340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 1246112
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
217 GLENSFORD DR STE A, Fayetteville, NC 28314
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Other Names 1

Other Name (5)Panpan Kothet

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAINSTREET AND KIDSSTREET OF NORTH CAROLINA PLLC
Clinic/Center (Urgent Care)
217 GLENSFORD DR STE A
FAYETTEVILLE, NC 28314
Cumberland County (205) 545-5090

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Panpan Thet's NPI number?

The NPI number for Panpan Thet is 1821806340. It was assigned to this individual provider in the NPPES registry on December 30, 2024. The provider is also known as Panpan Kothet.

Where is Panpan Thet located?

Panpan Thet practices at 217 Glensford Dr Ste A, Fayetteville, NC 28314. The listed phone number is (910) 483-4647.

What is Panpan Thet's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Panpan Thet was last updated on October 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.