Kathleen Gavigan Waffner in Dublin - Physician Assistant
Kathleen Gavigan Waffner - NPI 1205968377
Kathleen Gavigan Waffner is a Physician Assistant in Dublin, California. Kathleen Gavigan Waffner practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kathleen Gavigan Waffner is 1205968377. The last update date is 2007-07-08.
Kathleen Gavigan Waffner's current location address is 11875 Dublin Blvd, Dublin, California. You can contact this provider via phone number 9255872505 and fax number 9255872511. The mailing address for Kathleen Gavigan Waffner is 11875 Dublin Blvd, Dublin, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathleen Gavigan Waffner |
|---|---|
| Address | 11875 Dublin Blvd, Dublin, California |
| Phone Number | 9255872505 |
| Fax Number | 9255872511 |
| Sole Proprietor | Y |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1205968377 |
|---|---|
| Provider Enumeration Date | 2007-03-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 11875 Dublin Blvd |
|---|---|
| City | Dublin |
| State | California (CA) |
| Post Code | 945682843 |
| Phone Number | 9255872505 |
| Fax Number | 9255872511 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA19079 |
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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 Kathleen Gavigan Waffner by the Centers for Medicare & Medicaid Services?
The Kathleen Gavigan Waffner has been issued the NPI (National Provider Identifier) 1205968377, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kathleen Gavigan Waffner located?
The Kathleen Gavigan Waffner is located at 11875 Dublin Blvd, Dublin, CA 945682843.
What is Kathleen Gavigan Waffner's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kathleen Gavigan Waffner is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
When did Kathleen Gavigan Waffner receive its 1205968377 assignment?
The Kathleen Gavigan Waffner was assigned its 1205968377 on 2007-03-12, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Kathleen Gavigan Waffner last refreshed?
The information related to the Kathleen Gavigan Waffner, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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