Kirk A Johnson in Fresno - Physician Assistant
Kirk A Johnson - NPI 1700086949
Kirk A Johnson is a Physician Assistant in Fresno, California. Kirk A Johnson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kirk A Johnson is 1700086949. The last update date is 2008-05-06.
Kirk A Johnson's current location address is 1630 E Herndon Ave, Fresno, California. You can contact this provider via phone number 5592565200. The mailing address for Kirk A Johnson is 1630 E Herndon Ave, Fresno, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kirk A Johnson |
|---|---|
| Address | 1630 E Herndon Ave, Fresno, California |
| Phone Number | 5592565200 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1700086949 |
|---|---|
| Provider Enumeration Date | 2007-07-24 |
| Last Updated Date | 2008-05-06 |
Provider Mailing Address Detail
| Address | 1630 E Herndon Ave |
|---|---|
| City | Fresno |
| State | California (CA) |
| Post Code | 937203305 |
| Phone Number | 5592565200 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA 19261 |
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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 |
|---|---|---|---|
| P00442770 | CA | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the Kirk A Johnson's 1700086949?
The Kirk A Johnson's NPI (National Provider Identifier) Number is 1700086949. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Kirk A Johnson?
The Kirk A Johnson is physically situated at 1630 E Herndon Ave, in the city of Fresno, state of CA, with the postal code 937203305.
What is Kirk A Johnson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kirk A Johnson is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1700086949 to Kirk A Johnson?
The Kirk A Johnson received its 1700086949 assignment from the Centers for Medicare & Medicaid Services on 2007-07-24.
When was the information pertaining to Kirk A Johnson most recently updated or revised?
The details related to Kirk A Johnson, including its address, specialty, and other relevant information, were last updated or revised on 2008-05-06.
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