Kevin B Churchwell in Jackson - Pediatric Critical Care Medicine
Kevin B Churchwell - NPI 1659477818
Kevin B Churchwell is a Pediatric Critical Care Medicine in Jackson, Tennessee. Kevin B Churchwell practices all healthcare services and medical treatments related to Pediatric Critical Care Medicine. The NPI Number for Kevin B Churchwell is 1659477818. The last update date is 2009-07-31.
Kevin B Churchwell's current location address is 1804 Highway 45 Byp, Jackson, Tennessee. You can contact this provider via phone number 7316608759. The mailing address for Kevin B Churchwell is 1804 Highway 45 Byp, Jackson, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin B Churchwell |
|---|---|
| Address | 1804 Highway 45 Byp, Jackson, Tennessee |
| Phone Number | 7316608759 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1659477818 |
|---|---|
| Provider Enumeration Date | 2006-09-15 |
| Last Updated Date | 2009-07-31 |
Provider Mailing Address Detail
| Address | 1804 Highway 45 Byp |
|---|---|
| City | Jackson |
| State | Tennessee (TN) |
| Post Code | 383054436 |
| Phone Number | 7316608759 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Critical Care Medicine |
|---|---|
| Taxonomy | 2080P0203X |
| Licence No | 26441 |
|
Definition: A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surg |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3896512 | TN | -- | |
| 3068740 | BCBS |
Post Comment/ Review Below
What is the unique identifier code issued to Kevin B Churchwell by the Centers for Medicare & Medicaid Services (CMS)?
The Kevin B Churchwell has been assigned the NPI (National Provider Identifier) 1659477818. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Kevin B Churchwell's facilities are situated?
The facilities of Kevin B Churchwell are physically located at the following address: 1804 Highway 45 Byp, Jackson, TN, 383054436.
What is Kevin B Churchwell'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 Kevin B Churchwell is Pediatric Critical Care Medicine, and the taxonomy classification code that categorizes this area of expertise is 2080P0203X.
On what date did the Centers for Medicare & Medicaid Services assign the 1659477818 to Kevin B Churchwell?
The Centers for Medicare & Medicaid Services assigned the 1659477818 to Kevin B Churchwell on 2006-09-15.
As of what date were the details pertaining to Kevin B Churchwell last refreshed?
The information related to the Kevin B Churchwell, including its address, specialty, and other relevant details, was last updated on 2009-07-31.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY