Kevin Jan Bailey in Emeryville - Physician Assistant
Kevin Jan Bailey - NPI 1891740007
Kevin Jan Bailey is a Physician Assistant in Emeryville, California. Kevin Jan Bailey practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kevin Jan Bailey is 1891740007. The last update date is 2021-11-22.
Kevin Jan Bailey's current location address is 2100 Powell St, Emeryville, California. You can contact this provider via phone number 5103502600. The mailing address for Kevin Jan Bailey is 2100 Powell St, Emeryville, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Jan Bailey |
|---|---|
| Address | 2100 Powell St, Emeryville, California |
| Phone Number | 5103502600 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | P.A-C |
NPI Number Detail
| NPI Number | 1891740007 |
|---|---|
| Provider Enumeration Date | 2006-05-24 |
| Last Updated Date | 2021-11-22 |
Provider Mailing Address Detail
| Address | 2100 Powell St |
|---|---|
| City | Emeryville |
| State | California (CA) |
| Post Code | 946081826 |
| Phone Number | 5103502600 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA14407 |
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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 Kevin Jan Bailey's 1891740007?
The Kevin Jan Bailey's NPI (National Provider Identifier) Number is 1891740007. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Kevin Jan Bailey?
The Kevin Jan Bailey is situated at 2100 Powell St, in the city of Emeryville, state of CA, with the zip code 946081826.
What is Kevin Jan Bailey's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kevin Jan Bailey's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
When was the Kevin Jan Bailey's 1891740007 issued?
The Kevin Jan Bailey's 1891740007 was issued on 2006-05-24.
When was the information regarding Kevin Jan Bailey most recently updated?
The details pertaining to the Kevin Jan Bailey, including its address, specialty, and other relevant information, were last refreshed on 2021-11-22.
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