Heather J Kohout in Wheat Ridge - Physician Assistant

Heather J Kohout - NPI 1770536344

Heather J Kohout is a Physician Assistant in Wheat Ridge, Colorado. Heather J Kohout practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Heather J Kohout is 1770536344. The last update date is 2021-12-13.

Heather J Kohout's current location address is 8550 W 38th Ave Ste 300, Wheat Ridge, Colorado. You can contact this provider via phone number 3034633900 and fax number 3034232621. The mailing address for Heather J Kohout is 8550 W 38th Ave Ste 300, Wheat Ridge, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Name Heather J Kohout
Address 8550 W 38th Ave Ste 300, Wheat Ridge, Colorado
Phone Number 3034633900
Fax Number 3034232621
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1770536344
Provider Enumeration Date 2006-05-18
Last Updated Date 2021-12-13

Provider Mailing Address Detail

Address 8550 W 38th Ave Ste 300
City Wheat Ridge
State Colorado (CO)
Post Code 800334355
Phone Number 3034633900
Fax Number 3034232621

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 3430
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
809840 IL MEDICARE GROUP
CA4079 IL RR MEDICARE GROUP PTAN
371221637 IL FEDERAL TAX ID
776530 MEDICARE GROUP PIN
P00680137 IL RR MEDICARE MEMBER PTAN

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FAQs about Heather J Kohout

What is the Heather J Kohout's 1770536344?

The Heather J Kohout's NPI (National Provider Identifier) Number is 1770536344. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Heather J Kohout?

The Heather J Kohout is situated at 8550 W 38Th Ave Ste 300, in the city of Wheat Ridge, state of CO, with the zip code 800334355.

What is the Heather J Kohout's specialty and taxonomy code?

The Heather J Kohout's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.

On what date did the Heather J Kohout receive its 1770536344 assignment from the Centers for Medicare & Medicaid Services?

The Heather J Kohout was assigned its 1770536344 by the Centers for Medicare & Medicaid Services on 2006-05-18.

As of what date were the details related to Heather J Kohout most recently updated or revised?

The information pertaining to Heather J Kohout, including its address, specialty, and other relevant details, was last updated or revised on 2021-12-13.

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