Kent Lee Sack is a Family Medicine in Pachero, California. Kent Lee Sack practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kent Lee Sack is 1194983031. The last update date is 2008-05-28.
Kent Lee Sack's current location address is 340 5th Ave South, Pachero, California. You can contact this provider via phone number 9256858878. The mailing address for Kent Lee Sack is 340 5th Ave South, Pachero, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kent Lee Sack |
|---|---|
| Address | 340 5th Ave South, Pachero, California |
| Phone Number | 9256858878 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1194983031 |
|---|---|
| Provider Enumeration Date | 2008-05-28 |
| Last Updated Date | 2008-05-28 |
Provider Mailing Address Detail
| Address | 340 5th Ave South |
|---|---|
| City | Pachero |
| State | California (CA) |
| Post Code | 94553 |
| Phone Number | 9256858878 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | C29667 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kent Lee Sack by the Centers for Medicare & Medicaid Services?
The Kent Lee Sack has been issued the NPI (National Provider Identifier) 1194983031 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Kent Lee Sack's facilities are geographically located?
The facilities of Kent Lee Sack are physically situated at the following location: 340 5Th Ave South, Pachero, CA, 94553.
What is Kent Lee Sack's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kent Lee Sack is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
On what date did the Kent Lee Sack receive the assignment of its 1194983031 from the Centers for Medicare & Medicaid Services?
The Kent Lee Sack was issued its 1194983031 by the Centers for Medicare & Medicaid Services on 2008-05-28.
As of what date were the Kent Lee Sack's details last updated?
The information pertaining to the Kent Lee Sack, including its address, specialty, and other details, was most recently updated on 2008-05-28.