Kimberly Anne Channels in Tampa - Physician Assistant

Kimberly Anne Channels - NPI 1053443796

Kimberly Anne Channels is a Physician Assistant in Tampa, Florida. Kimberly Anne Channels practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kimberly Anne Channels is 1053443796. The last update date is 2018-11-13.

Kimberly Anne Channels's current location address is 15320 Amberly Dr, Tampa, Florida. You can contact this provider via phone number 8139772090 and fax number 8139779107. The mailing address for Kimberly Anne Channels is 15320 Amberly Dr, Tampa, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Kimberly Anne Channels
Address 15320 Amberly Dr, Tampa, Florida
Phone Number 8139772090
Fax Number 8139779107
Sole Proprietor Y
Credentials PA

NPI Number Detail

NPI Number 1053443796
Provider Enumeration Date 2007-03-09
Last Updated Date 2018-11-13

Provider Mailing Address Detail

Address 15320 Amberly Dr
City Tampa
State Florida (FL)
Post Code 336471647
Phone Number 8139772090
Fax Number 8139779107

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA 3270
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 LICENSE PA 3 FL PHYSICIAN ASSISTANT ID

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FAQs about Kimberly Anne Channels

What is the unique 10-digit identifier code issued to Kimberly Anne Channels by the Centers for Medicare & Medicaid Services?

The Kimberly Anne Channels has been assigned the NPI (National Provider Identifier) 1053443796 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 Kimberly Anne Channels is physically located?

The Kimberly Anne Channels is situated at the following address: 15320 Amberly Dr, Tampa, FL 336471647.

What is Kimberly Anne Channels's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Kimberly Anne Channels is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1053443796 to Kimberly Anne Channels?

The Centers for Medicare & Medicaid Services originally issued the 1053443796 to Kimberly Anne Channels on 2007-03-09.

As of what date were the details pertaining to Kimberly Anne Channels last refreshed?

The information related to the Kimberly Anne Channels, including its address, specialty, and other relevant details, was last updated on 2018-11-13.

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