Kaydee Bork is a Physician Assistant in San Diego, California. Kaydee Bork practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kaydee Bork is 1669579850. The last update date is 2013-08-30.
Kaydee Bork's current location address is 11515 El Camino Real, San Diego, California. You can contact this provider via phone number 8587201440 and fax number 8585097738. The mailing address for Kaydee Bork is 11515 El Camino Real, San Diego, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kaydee Bork |
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Address | 11515 El Camino Real, San Diego, California |
Phone Number | 8587201440 |
Fax Number | 8585097738 |
Sole Proprietor | N |
Credentials | PAC |
NPI Number Detail
NPI Number | 1669579850 |
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Provider Enumeration Date | 2006-09-20 |
Last Updated Date | 2013-08-30 |
Provider Mailing Address Detail
Address | 11515 El Camino Real |
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City | San Diego |
State | California (CA) |
Post Code | 92130 |
Phone Number | 8587201440 |
Fax Number | 8585097738 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
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 identification code issued to Kaydee Bork by the Centers for Medicare & Medicaid Services?
The Kaydee Bork has been assigned the NPI (National Provider Identifier) 1669579850 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Kaydee Bork?
The Kaydee Bork is physically situated at 11515 El Camino Real, in the city of San Diego, state of CA, with the postal code 92130.
What is Kaydee Bork's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kaydee Bork is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1669579850 to Kaydee Bork?
The Centers for Medicare & Medicaid Services assigned the 1669579850 to Kaydee Bork on 2006-09-20.
As of what date were the Kaydee Bork's details last updated?
The information pertaining to the Kaydee Bork, including its address, specialty, and other details, was most recently updated on 2013-08-30.
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