Keith M Simnicht in Hattiesburg - Family Medicine
Keith M Simnicht - NPI 1851400410
Keith M Simnicht is a Family Medicine in Hattiesburg, Mississippi. Keith M Simnicht practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Keith M Simnicht is 1851400410. The last update date is 2020-08-07.
Keith M Simnicht's current location address is 415 S 28th Ave, Hattiesburg, Mississippi. You can contact this provider via phone number 6015447404 and fax number 6015795240. The mailing address for Keith M Simnicht is 415 S 28th Ave, Hattiesburg, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keith M Simnicht |
|---|---|
| Address | 415 S 28th Ave, Hattiesburg, Mississippi |
| Phone Number | 6015447404 |
| Fax Number | 6015795240 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1851400410 |
|---|---|
| Provider Enumeration Date | 2006-08-29 |
| Last Updated Date | 2020-08-07 |
Provider Mailing Address Detail
| Address | 415 S 28th Ave |
|---|---|
| City | Hattiesburg |
| State | Mississippi (MS) |
| Post Code | 394017246 |
| Phone Number | 6015447404 |
| Fax Number | 6015795240 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 14595 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 113836 | MS | -- | |
| 640507572AZ | MS | AMERICAN ADMIN GROUP |
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What is the unique 10-digit identification code issued to Keith M Simnicht by the Centers for Medicare & Medicaid Services?
The Keith M Simnicht has been assigned the NPI (National Provider Identifier) 1851400410 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Keith M Simnicht?
The Keith M Simnicht is situated at 415 S 28Th Ave, in the city of Hattiesburg, state of MS, with the zip code 394017246.
What is the Keith M Simnicht's specialty and taxonomy code?
The Keith M Simnicht's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date did the Keith M Simnicht receive the assignment of its 1851400410 from the Centers for Medicare & Medicaid Services?
The Keith M Simnicht was issued its 1851400410 by the Centers for Medicare & Medicaid Services on 2006-08-29.
When was the information regarding Keith M Simnicht most recently updated?
The details pertaining to the Keith M Simnicht, including its address, specialty, and other relevant information, were last refreshed on 2020-08-07.