Kevin Panyanouvong in Modesto - Professional
Kevin Panyanouvong - NPI 1033245857
Kevin Panyanouvong is a Professional in Modesto, California. Kevin Panyanouvong practices all healthcare services and medical treatments related to Professional. The NPI Number for Kevin Panyanouvong is 1033245857. The last update date is 2021-12-20.
Kevin Panyanouvong's current location address is 800 Scenic Dr, Modesto, California. You can contact this provider via phone number 2095256225 and fax number 2095584326. The mailing address for Kevin Panyanouvong is 800 Scenic Dr, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Panyanouvong |
|---|---|
| Address | 800 Scenic Dr, Modesto, California |
| Phone Number | 2095256225 |
| Fax Number | 2095584326 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1033245857 |
|---|---|
| Provider Enumeration Date | 2007-02-26 |
| Last Updated Date | 2021-12-20 |
Provider Mailing Address Detail
| Address | 800 Scenic Dr |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 953506131 |
| Phone Number | 2095256225 |
| Fax Number | 2095584326 |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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What is the unique 10-digit identifier code assigned to Kevin Panyanouvong by the Centers for Medicare & Medicaid Services?
The Kevin Panyanouvong has been issued the NPI (National Provider Identifier) 1033245857 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Kevin Panyanouvong is physically located?
The Kevin Panyanouvong is physically situated at the following address: 800 Scenic Dr, Modesto, CA, 953506131.
What is Kevin Panyanouvong's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kevin Panyanouvong's specialized field of practice is Professional, and the corresponding taxonomy code that categorizes this area of specialization is 101Yp2500X.
On what date did Kevin Panyanouvong receive its 1033245857 assignment from the Centers for Medicare & Medicaid Services?
The Kevin Panyanouvong was assigned its 1033245857 on 2007-02-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Kevin Panyanouvong, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kevin Panyanouvong, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-12-20.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY