Kedron F.J. Burnett in Nampa - Physician Assistant

Kedron F.J. Burnett - NPI 1023148210

Kedron F.J. Burnett is a Physician Assistant in Nampa, Idaho. Kedron F.J. Burnett practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kedron F.J. Burnett is 1023148210. The last update date is 2023-03-07.

Kedron F.J. Burnett's current location address is 211 16th Ave N, Nampa, Idaho. You can contact this provider via phone number 2084674431 and fax number 2084677684. The mailing address for Kedron F.J. Burnett is 211 16th Ave N, Nampa, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Kedron F.J. Burnett
Address 211 16th Ave N, Nampa, Idaho
Phone Number 2084674431
Fax Number 2084677684
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1023148210
Provider Enumeration Date 2007-03-06
Last Updated Date 2023-03-07

Provider Mailing Address Detail

Address 211 16th Ave N
City Nampa
State Idaho (ID)
Post Code 836874058
Phone Number 2084674431
Fax Number 2084677684

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 527
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
PA-527 ID IDAHO MEDICAL LICENSE

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FAQs about Kedron F.J. Burnett

What is the unique identifier code issued to Kedron F.J. Burnett by the Centers for Medicare & Medicaid Services (CMS)?

The Kedron F.J. Burnett has been assigned the NPI (National Provider Identifier) 1023148210. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete physical location address of Kedron F.J. Burnett?

The Kedron F.J. Burnett is physically situated at 211 16Th Ave N, in the city of Nampa, state of ID, with the postal code 836874058.

What is the Kedron F.J. Burnett's specialty and taxonomy code?

The Kedron F.J. Burnett's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.

On what date did the Kedron F.J. Burnett receive its 1023148210 assignment from the Centers for Medicare & Medicaid Services?

The Kedron F.J. Burnett was assigned its 1023148210 by the Centers for Medicare & Medicaid Services on 2007-03-06.

As of what date was the information regarding Kedron F.J. Burnett, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Kedron F.J. Burnett, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-03-07.

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