Kimen M Colgan in Pismo Beach - Physician Assistant
Kimen M Colgan - NPI 1699739227
Kimen M Colgan is a Physician Assistant in Pismo Beach, California. Kimen M Colgan practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kimen M Colgan is 1699739227. The last update date is 2016-09-19.
Kimen M Colgan's current location address is 575 Price St, Pismo Beach, California. You can contact this provider via phone number 8054813685 and fax number 8054815245. The mailing address for Kimen M Colgan is 575 Price St, Pismo Beach, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kimen M Colgan |
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Address | 575 Price St, Pismo Beach, California |
Phone Number | 8054813685 |
Fax Number | 8054815245 |
Sole Proprietor | N |
Credentials | PA |
NPI Number Detail
NPI Number | 1699739227 |
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Provider Enumeration Date | 2006-04-12 |
Last Updated Date | 2016-09-19 |
Provider Mailing Address Detail
Address | 575 Price St |
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City | Pismo Beach |
State | California (CA) |
Post Code | 934492553 |
Phone Number | 8054813685 |
Fax Number | 8054815245 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | 3531 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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41929300 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Kimen M Colgan by the Centers for Medicare & Medicaid Services?
The Kimen M Colgan has been assigned the NPI (National Provider Identifier) 1699739227 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Kimen M Colgan's physical address?
The Kimen M Colgan is physically located at 575 Price St, in the city of Pismo Beach, CA, with the postal code 934492553.
What is the area of specialization for Kimen M Colgan, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kimen M Colgan is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
When was the Kimen M Colgan's 1699739227 issued?
The Kimen M Colgan's 1699739227 was issued on 2006-04-12.
As of what date were the details pertaining to Kimen M Colgan last refreshed?
The information related to the Kimen M Colgan, including its address, specialty, and other relevant details, was last updated on 2016-09-19.