Kelly Marie Parker in Phoenix - Physician Assistant
Kelly Marie Parker - NPI 1093795064
Kelly Marie Parker is a Physician Assistant in Phoenix, Arizona. Kelly Marie Parker practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kelly Marie Parker is 1093795064. The last update date is 2018-01-26.
Kelly Marie Parker's current location address is 1920 E Cambridge Ave Ste 302, Phoenix, Arizona. You can contact this provider via phone number 6029335200 and fax number 6029334272. The mailing address for Kelly Marie Parker is 1920 E Cambridge Ave Ste 302, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Marie Parker |
|---|---|
| Address | 1920 E Cambridge Ave Ste 302, Phoenix, Arizona |
| Phone Number | 6029335200 |
| Fax Number | 6029334272 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1093795064 |
|---|---|
| Provider Enumeration Date | 2006-01-18 |
| Last Updated Date | 2018-01-26 |
Provider Mailing Address Detail
| Address | 1920 E Cambridge Ave Ste 302 |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850061464 |
| Phone Number | 6029335200 |
| Fax Number | 6029334272 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1882 |
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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 |
|---|---|---|---|
| 317281-04 | AZ | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Kelly Marie Parker by the Centers for Medicare & Medicaid Services?
The Kelly Marie Parker has been assigned the NPI (National Provider Identifier) 1093795064. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Kelly Marie Parker is located?
The Kelly Marie Parker is situated at the following address: 1920 E Cambridge Ave Ste 302, Phoenix, AZ, 850061464.
What is Kelly Marie Parker's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kelly Marie Parker's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
When did the Kelly Marie Parker receive its 1093795064?
The Kelly Marie Parker was issued its 1093795064 on 2006-01-18, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Kelly Marie Parker most recently updated or revised?
The information pertaining to Kelly Marie Parker, including its address, specialty, and other relevant details, was last updated or revised on 2018-01-26.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY