Matthew M Kenick in Fort Lauderdale - Physician Assistant
Matthew M Kenick - NPI 1922051614
Matthew M Kenick is a Physician Assistant in Fort Lauderdale, Florida. Matthew M Kenick practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Matthew M Kenick is 1922051614. The last update date is 2022-07-27.
Matthew M Kenick's current location address is 1700 Nw 49th Street, Fort Lauderdale, Florida. You can contact this provider via phone number 9543554665. The mailing address for Matthew M Kenick is 1700 Nw 49th Street, Fort Lauderdale, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matthew M Kenick |
|---|---|
| Address | 1700 Nw 49th Street, Fort Lauderdale, Florida |
| Phone Number | 9543554665 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1922051614 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2022-07-27 |
Provider Mailing Address Detail
| Address | 1700 Nw 49th Street |
|---|---|
| City | Fort Lauderdale |
| State | Florida (FL) |
| Post Code | 333093763 |
| Phone Number | 9543554665 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA3593 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 290516700 | FL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Matthew M Kenick?
The Matthew M Kenick has been issued the NPI (National Provider Identifier) 1922051614 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Matthew M Kenick's facilities are situated?
The facilities of Matthew M Kenick are physically located at the following address: 1700 Nw 49Th Street, Fort Lauderdale, FL, 333093763.
What is Matthew M Kenick's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Matthew M Kenick is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
When was the Matthew M Kenick's 1922051614 issued?
The Matthew M Kenick's 1922051614 was issued on 2006-05-17.
As of what date were the details related to Matthew M Kenick most recently updated or revised?
The information pertaining to Matthew M Kenick, including its address, specialty, and other relevant details, was last updated or revised on 2022-07-27.
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