Kevin K Bush is a Physician Assistant in Maitland, Florida. Kevin K Bush practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kevin K Bush is 1114913332. The last update date is 2015-08-14.
Kevin K Bush's current location address is 151 Southhall Ln, Maitland, Florida. You can contact this provider via phone number 4078752080 and fax number 4076503455. The mailing address for Kevin K Bush is 151 Southhall Ln, Maitland, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin K Bush |
|---|---|
| Address | 151 Southhall Ln, Maitland, Florida |
| Phone Number | 4078752080 |
| Fax Number | 4076503455 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1114913332 |
|---|---|
| Provider Enumeration Date | 2005-09-22 |
| Last Updated Date | 2015-08-14 |
Provider Mailing Address Detail
| Address | 151 Southhall Ln |
|---|---|
| City | Maitland |
| State | Florida (FL) |
| Post Code | 327517176 |
| Phone Number | 4078752080 |
| Fax Number | 4076503455 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 2887 |
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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 |
|---|---|---|---|
| 100002128A | GA | -- |
Post Comment/ Review Below
What is the Kevin K Bush's 1114913332?
The Kevin K Bush's NPI (National Provider Identifier) Number is 1114913332. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
What is the unique identifier code issued to Kevin K Bush by the Centers for Medicare & Medicaid Services (CMS)?
The Kevin K Bush has been assigned the NPI (National Provider Identifier) 1114913332. 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 Kevin K Bush?
The Kevin K Bush is physically situated at 151 Southhall Ln, in the city of Maitland, state of FL, with the postal code 327517176.
What is the Kevin K Bush's specialty and taxonomy code?
The Kevin K Bush's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
When was the Kevin K Bush's 1114913332 issued?
The Kevin K Bush's 1114913332 was issued on 2005-09-22.