Brenda D Kimery in Phoenix - Physician Assistant
Brenda D Kimery - NPI 1801873864
Brenda D Kimery is a Physician Assistant in Phoenix, Arizona. Brenda D Kimery practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Brenda D Kimery is 1801873864. The last update date is 2020-10-09.
Brenda D Kimery's current location address is 5777 E Mayo Blvd, Phoenix, Arizona. You can contact this provider via phone number 4803018000. The mailing address for Brenda D Kimery is 5777 E Mayo Blvd, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brenda D Kimery |
|---|---|
| Address | 5777 E Mayo Blvd, Phoenix, Arizona |
| Phone Number | 4803018000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | P.A.-C. |
NPI Number Detail
| NPI Number | 1801873864 |
|---|---|
| Provider Enumeration Date | 2005-12-29 |
| Last Updated Date | 2020-10-09 |
Provider Mailing Address Detail
| Address | 5777 E Mayo Blvd |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850544502 |
| Phone Number | 4803018000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 2530 |
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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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What is the unique 10-digit identification code assigned to Brenda D Kimery by the Centers for Medicare & Medicaid Services?
The Brenda D Kimery has been issued the NPI (National Provider Identifier) 1801873864, which 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 Brenda D Kimery is physically located?
The Brenda D Kimery is physically situated at the following address: 5777 E Mayo Blvd, Phoenix, AZ, 850544502.
What is the Brenda D Kimery's area of specialization and corresponding taxonomy classification?
The Brenda D Kimery's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
When did the Brenda D Kimery receive its 1801873864?
The Brenda D Kimery was issued its 1801873864 on 2005-12-29, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Brenda D Kimery most recently updated or revised?
The information pertaining to Brenda D Kimery, including its address, specialty, and other relevant details, was last updated or revised on 2020-10-09.