Kelly C Phanh is a Physician Assistant in Merced, California. Kelly C Phanh practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kelly C Phanh is 1801951702. The last update date is 2008-09-26.
Kelly C Phanh's current location address is 3144 G St Ste 125 Pmb 293, Merced, California. You can contact this provider via phone number 2093833990 and fax number 2093832082. The mailing address for Kelly C Phanh is 3144 G St Ste 125 Pmb 293, Merced, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly C Phanh |
|---|---|
| Address | 3144 G St Ste 125 Pmb 293, Merced, California |
| Phone Number | 2093833990 |
| Fax Number | 2093832082 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1801951702 |
|---|---|
| Provider Enumeration Date | 2006-12-22 |
| Last Updated Date | 2008-09-26 |
Provider Mailing Address Detail
| Address | 3144 G St Ste 125 Pmb 293 |
|---|---|
| City | Merced |
| State | California (CA) |
| Post Code | 953401385 |
| Phone Number | 2093833990 |
| Fax Number | 2093832082 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA15289 |
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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 identifier code assigned to Kelly C Phanh by the Centers for Medicare & Medicaid Services?
The Kelly C Phanh has been issued the NPI (National Provider Identifier) 1801951702 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Kelly C Phanh located?
The Kelly C Phanh is located at 3144 G St Ste 125 Pmb 293, Merced, CA 953401385.
What is the Kelly C Phanh's specialty and taxonomy code?
The Kelly C Phanh's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date was the 1801951702 assigned to Kelly C Phanh?
The Kelly C Phanh was issued its 1801951702 on 2006-12-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Kelly C Phanh most recently updated or refreshed?
The details pertaining to the Kelly C Phanh, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-09-26.