Lisa Marie Kettlestrings in Bay Pines - Physician Assistant

Lisa Marie Kettlestrings - NPI 1518996263

Lisa Marie Kettlestrings is a Physician Assistant in Bay Pines, Florida. Lisa Marie Kettlestrings practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Lisa Marie Kettlestrings is 1518996263. The last update date is 2015-04-27.

Lisa Marie Kettlestrings's current location address is Po Box 5005, Bay Pines, Florida. You can contact this provider via phone number 7273986661 and fax number 7273191003. The mailing address for Lisa Marie Kettlestrings is Po Box 5005, Bay Pines, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Lisa Marie Kettlestrings
Address Po Box 5005, Bay Pines, Florida
Phone Number 7273986661
Fax Number 7273191003
Sole Proprietor N
Credentials PA -C

NPI Number Detail

NPI Number 1518996263
Provider Enumeration Date 2006-07-02
Last Updated Date 2015-04-27

Provider Mailing Address Detail

Address Po Box 5005
City Bay Pines
State Florida (FL)
Post Code 337445005
Phone Number 7273986661
Fax Number 7273191003

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 9101628
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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FAQs about Lisa Marie Kettlestrings

What is the Lisa Marie Kettlestrings's unique identification number?

The Lisa Marie Kettlestrings has been assigned the NPI (National Provider Identifier) Number 1518996263 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Can you provide the Lisa Marie Kettlestrings's physical address?

The Lisa Marie Kettlestrings is physically located at Po Box 5005, in the city of Bay Pines, FL, with the postal code 337445005.

What is the Lisa Marie Kettlestrings's area of specialization and corresponding taxonomy classification?

The Lisa Marie Kettlestrings's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.

When did the Lisa Marie Kettlestrings receive its 1518996263?

The Lisa Marie Kettlestrings was issued its 1518996263 on 2006-07-02, which is the date when the organization was assigned this unique identifier.

On what date did the Lisa Marie Kettlestrings receive its 1518996263 assignment from the Centers for Medicare & Medicaid Services?

The Lisa Marie Kettlestrings was assigned its 1518996263 by the Centers for Medicare & Medicaid Services on 2006-07-02.

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