Nicolette Mcdermott-Ketch in Kayenta - Physician Assistant
Nicolette Mcdermott-Ketch - NPI 1417947813
Nicolette Mcdermott-Ketch is a Physician Assistant in Kayenta, Arizona. Nicolette Mcdermott-Ketch practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Nicolette Mcdermott-Ketch is 1417947813. The last update date is 2019-01-03.
Nicolette Mcdermott-Ketch's current location address is Hwy 160 & Mp 394.3, Kayenta, Arizona. You can contact this provider via phone number 9286974000. The mailing address for Nicolette Mcdermott-Ketch is Hwy 160 & Mp 394.3, Kayenta, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nicolette Mcdermott-Ketch |
|---|---|
| Address | Hwy 160 & Mp 394.3, Kayenta, Arizona |
| Phone Number | 9286974000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1417947813 |
|---|---|
| Provider Enumeration Date | 2005-10-26 |
| Last Updated Date | 2019-01-03 |
Provider Mailing Address Detail
| Address | Hwy 160 & Mp 394.3 |
|---|---|
| City | Kayenta |
| State | Arizona (AZ) |
| Post Code | 86033 |
| Phone Number | 9286974000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA20030034 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 61276031 | CO | -- | |
| 803727 | AZ | -- | |
| 40907503 | NM | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Nicolette Mcdermott-Ketch by the Centers for Medicare & Medicaid Services?
The Nicolette Mcdermott-Ketch has been assigned the NPI (National Provider Identifier) 1417947813 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Nicolette Mcdermott-Ketch is located?
The Nicolette Mcdermott-Ketch is situated at the following address: Hwy 160 & Mp 394.3, Kayenta, AZ, 86033.
What is the area of specialization for Nicolette Mcdermott-Ketch, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Nicolette Mcdermott-Ketch is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date was the 1417947813 assigned to Nicolette Mcdermott-Ketch?
The Nicolette Mcdermott-Ketch was issued its 1417947813 on 2005-10-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Nicolette Mcdermott-Ketch, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Nicolette Mcdermott-Ketch, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-01-03.