Kevin Anthony Fajardo in Eglin Afb - Dermatology
Kevin Anthony Fajardo - NPI 1922146596
Kevin Anthony Fajardo is a Dermatology in Eglin Afb, Florida. Kevin Anthony Fajardo practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Kevin Anthony Fajardo is 1922146596. The last update date is 2021-03-05.
Kevin Anthony Fajardo's current location address is 307 Boatner Rd, Eglin Afb, Florida. You can contact this provider via phone number 8508838600. The mailing address for Kevin Anthony Fajardo is 307 Boatner Rd, Eglin Afb, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Anthony Fajardo |
|---|---|
| Address | 307 Boatner Rd, Eglin Afb, Florida |
| Phone Number | 8508838600 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD, MPH, M |
NPI Number Detail
| NPI Number | 1922146596 |
|---|---|
| Provider Enumeration Date | 2007-02-03 |
| Last Updated Date | 2021-03-05 |
Provider Mailing Address Detail
| Address | 307 Boatner Rd |
|---|---|
| City | Eglin Afb |
| State | Florida (FL) |
| Post Code | 325421302 |
| Phone Number | 8508838600 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | ME142177 |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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What is the unique identification code assigned to Kevin Anthony Fajardo by the Centers for Medicare & Medicaid Services?
The Kevin Anthony Fajardo has been issued the NPI (National Provider Identifier) 1922146596. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Kevin Anthony Fajardo is physically located?
The Kevin Anthony Fajardo is physically situated at the following address: 307 Boatner Rd, Eglin Afb, FL, 325421302.
What is the area of specialization for Kevin Anthony Fajardo, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kevin Anthony Fajardo is Dermatology, and the corresponding taxonomy code that categorizes this area of expertise is 207N00000X.
When did Kevin Anthony Fajardo receive its 1922146596 assignment?
The Kevin Anthony Fajardo was assigned its 1922146596 on 2007-02-03, which is the date when this unique identifier was issued to the organization.
When was the information related to Kevin Anthony Fajardo most recently updated or refreshed?
The details pertaining to the Kevin Anthony Fajardo, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-03-05.
NPI Number: 1023011681
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