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Licensee Information

Kristin Marie Prochaska - PA-C
0010-00130
Active
No
06/20/2005
09/21/2027

Active Supervisor

NameTypeStatusApprovedInactive
Abaqueta, Alvin Yap, MD MD Active 05/19/2024
Simon, Naomi Soroosh, MD MD Active 06/07/2011

North Carolina Hospital Admitting Privileges

Location
None Reported

Out of State Active/Inactive Licenses

State
Florida

Out of Country Active/Inactive Licenses

Country
None Reported

Address

Piedmont HealthCare, PA
128 Medical Park Rd, Ste 201
Mooresville, NC 28117
704-235-1827
www.piedmonthealthcare.com

Information

Please call office for availibility
I am experienced in all aspects of dermatology including general, surgical and cosmetic.
Yes
Yes
Yes
Yes
Yes

PA School

SchoolGraduation
Nova Southeastern University Physician Assistant Program2002

Area of Practice

Area Of PracticePrimary
DermatologyYes

Current Membership in Medical Professional Organizations

Membership
Society of Dermatology Physician Assistants

Honors & Awards

Honor/AwardGiven ByDate
Academic HonorsNova Southeastern University Physician Assistant Program2002

Public Service

Name of ClinicService DescriptionDate
Piedmont healthcareVolunteer at free skin cancer screeningon a yearly basis

Current Academic Appointments

TitleInstitutionCity, State, Country
None Reported

Publications

Title
None Reported

Section 1: Adverse Actions

North Carolina Medical Board Public Actions

DateDescriptionLink
None Reported

Other Regulatory Board or Agency Public Actions

DateName of Board/AgencyAction TakenLink
None Reported

Health Care Institution Suspensions and Revocations

DateHealth Care InstitutionAction Taken
None Reported

Section 2: Administrative Actions

Actions listed in this section are considered non-disciplinary by the Board. In situations where administrative actions are taken, the licensee may not have met certain statutory requirements or may have failed to follow correct administrative procedures.

North Carolina Medical Board Reentry Agreement

DateDescriptionLink
None Reported

North Carolina Special Purpose Licensing Agreement

DateDescriptionLink
None Reported

Malpractice Information

The Board is currently reviewing the care that led to this payment.

Incident DatePayment DateArea of PracticeCity, State, CountryResponse
None Reported

Misdemeanor/DUI/DWI Conviction Information

Conviction DateConvictionJurisdictionSentence
None Reported

Felony Conviction Information

Conviction DateConvictionJurisdictionSentence
None Reported
Information loaded from this database is current as of 8/23/2026 12:47:27 PM

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