Kelly Mackenzie Arditi in San Francisco - Physician Assistant
Kelly Mackenzie Arditi - NPI 1508041583
Kelly Mackenzie Arditi is a Physician Assistant in San Francisco, California. Kelly Mackenzie Arditi practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kelly Mackenzie Arditi is 1508041583. The last update date is 2011-09-07.
Kelly Mackenzie Arditi's current location address is 77 Van Ness Avenue, San Francisco, California. You can contact this provider via phone number 4153799015 and fax number 4153799045. The mailing address for Kelly Mackenzie Arditi is 77 Van Ness Avenue, San Francisco, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Mackenzie Arditi |
|---|---|
| Address | 77 Van Ness Avenue, San Francisco, California |
| Phone Number | 4153799015 |
| Fax Number | 4153799045 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1508041583 |
|---|---|
| Provider Enumeration Date | 2008-01-08 |
| Last Updated Date | 2011-09-07 |
Provider Mailing Address Detail
| Address | 77 Van Ness Avenue |
|---|---|
| City | San Francisco |
| State | California (CA) |
| Post Code | 94102 |
| Phone Number | 4153799015 |
| Fax Number | 4153799045 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA20452 |
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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 identification code issued to Kelly Mackenzie Arditi by the Centers for Medicare & Medicaid Services?
The Kelly Mackenzie Arditi has been assigned the NPI (National Provider Identifier) 1508041583 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 street address where Kelly Mackenzie Arditi is physically located?
The Kelly Mackenzie Arditi is physically situated at the following address: 77 Van Ness Avenue, San Francisco, CA, 94102.
What is Kelly Mackenzie Arditi's area of expertise and its corresponding taxonomy classification?
The Kelly Mackenzie Arditi's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1508041583 to Kelly Mackenzie Arditi?
The Centers for Medicare & Medicaid Services originally issued the 1508041583 to Kelly Mackenzie Arditi on 2008-01-08.
When was the information regarding Kelly Mackenzie Arditi most recently updated?
The details pertaining to the Kelly Mackenzie Arditi, including its address, specialty, and other relevant information, were last refreshed on 2011-09-07.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA