Kevin Tiyaamornwong in Madera - Physician Assistant
Kevin Tiyaamornwong - NPI 1275672503
Kevin Tiyaamornwong is a Physician Assistant in Madera, California. Kevin Tiyaamornwong practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kevin Tiyaamornwong is 1275672503. The last update date is 2023-03-07.
Kevin Tiyaamornwong's current location address is 344 E 6th St, Madera, California. You can contact this provider via phone number 5596644000 and fax number 5596755224. The mailing address for Kevin Tiyaamornwong is 344 E 6th St, Madera, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Tiyaamornwong |
|---|---|
| Address | 344 E 6th St, Madera, California |
| Phone Number | 5596644000 |
| Fax Number | 5596755224 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1275672503 |
|---|---|
| Provider Enumeration Date | 2007-02-05 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 344 E 6th St |
|---|---|
| City | Madera |
| State | California (CA) |
| Post Code | 936383631 |
| Phone Number | 5596644000 |
| Fax Number | 5596755224 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA 17984 |
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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 |
|---|---|---|---|
| PA 14398 | CA | LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Kevin Tiyaamornwong by the Centers for Medicare & Medicaid Services?
The Kevin Tiyaamornwong has been assigned the NPI (National Provider Identifier) 1275672503 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Kevin Tiyaamornwong located?
The Kevin Tiyaamornwong is located at 344 E 6Th St, Madera, CA 936383631.
What is the area of specialization for Kevin Tiyaamornwong, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kevin Tiyaamornwong is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1275672503 to Kevin Tiyaamornwong?
The Centers for Medicare & Medicaid Services originally issued the 1275672503 to Kevin Tiyaamornwong on 2007-02-05.
When was the Kevin Tiyaamornwong's information last updated?
The Kevin Tiyaamornwong's information was last updated on 2023-03-07.