Kyla Barajas Redwood in Cheshire - Physician Assistant

Kyla Barajas Redwood - NPI 1619164985

Kyla Barajas Redwood is a Physician Assistant in Cheshire, Connecticut. Kyla Barajas Redwood practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kyla Barajas Redwood is 1619164985. The last update date is 2018-05-24.

Kyla Barajas Redwood's current location address is 1201 Cornerstone Ct, Cheshire, Connecticut. You can contact this provider via phone number 2075762900. The mailing address for Kyla Barajas Redwood is 1201 Cornerstone Ct, Cheshire, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Kyla Barajas Redwood
Address 1201 Cornerstone Ct, Cheshire, Connecticut
Phone Number 2075762900
Fax Number
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1619164985
Provider Enumeration Date 2007-10-01
Last Updated Date 2018-05-24

Provider Mailing Address Detail

Address 1201 Cornerstone Ct
City Cheshire
State Connecticut (CT)
Post Code 64101860
Phone Number 2075762900
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 1976
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
4235900 CT --

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FAQs about Kyla Barajas Redwood

What is the Kyla Barajas Redwood's 1619164985?

The Kyla Barajas Redwood's NPI (National Provider Identifier) Number is 1619164985. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Kyla Barajas Redwood is physically located?

The Kyla Barajas Redwood is physically situated at the following address: 1201 Cornerstone Ct, Cheshire, CT, 64101860.

What is Kyla Barajas Redwood's specialized field of practice, and what is the corresponding taxonomy classification code?

The Kyla Barajas Redwood's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.

On what date did the Kyla Barajas Redwood receive the assignment of its 1619164985 from the Centers for Medicare & Medicaid Services?

The Kyla Barajas Redwood was issued its 1619164985 by the Centers for Medicare & Medicaid Services on 2007-10-01.

When was the information related to Kyla Barajas Redwood most recently updated or refreshed?

The details pertaining to the Kyla Barajas Redwood, including its address, specialty, and other relevant information, were last updated or refreshed on 2018-05-24.

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