Richard Samuel Kisson in Milford - Physician Assistant
Richard Samuel Kisson - NPI 1497782825
Richard Samuel Kisson is a Physician Assistant in Milford, Connecticut. Richard Samuel Kisson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Richard Samuel Kisson is 1497782825. The last update date is 2014-09-18.
Richard Samuel Kisson's current location address is 125 Edgefield Ave, Milford, Connecticut. You can contact this provider via phone number 2038787717. The mailing address for Richard Samuel Kisson is 125 Edgefield Ave, Milford, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Samuel Kisson |
|---|---|
| Address | 125 Edgefield Ave, Milford, Connecticut |
| Phone Number | 2038787717 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1497782825 |
|---|---|
| Provider Enumeration Date | 2006-06-28 |
| Last Updated Date | 2014-09-18 |
Provider Mailing Address Detail
| Address | 125 Edgefield Ave |
|---|---|
| City | Milford |
| State | Connecticut (CT) |
| Post Code | 64607833 |
| Phone Number | 2038787717 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1085 |
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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 identifier code issued to Richard Samuel Kisson by the Centers for Medicare & Medicaid Services?
The Richard Samuel Kisson has been assigned the NPI (National Provider Identifier) 1497782825 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Richard Samuel Kisson is physically located?
The Richard Samuel Kisson is situated at the following address: 125 Edgefield Ave, Milford, CT 64607833.
What is Richard Samuel Kisson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Richard Samuel Kisson'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 Richard Samuel Kisson receive the assignment of its 1497782825 from the Centers for Medicare & Medicaid Services?
The Richard Samuel Kisson was issued its 1497782825 by the Centers for Medicare & Medicaid Services on 2006-06-28.
When was the information regarding Richard Samuel Kisson most recently updated?
The details pertaining to the Richard Samuel Kisson, including its address, specialty, and other relevant information, were last refreshed on 2014-09-18.
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