Kristine P Kingery in Wilder - Physician Assistant
Kristine P Kingery - NPI 1679517155
Kristine P Kingery is a Physician Assistant in Wilder, Idaho. Kristine P Kingery practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kristine P Kingery is 1679517155. The last update date is 2022-02-11.
Kristine P Kingery's current location address is 124 5th St, Wilder, Idaho. You can contact this provider via phone number 2084827430 and fax number 2084827272. The mailing address for Kristine P Kingery is 124 5th St, Wilder, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kristine P Kingery |
|---|---|
| Address | 124 5th St, Wilder, Idaho |
| Phone Number | 2084827430 |
| Fax Number | 2084827272 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1679517155 |
|---|---|
| Provider Enumeration Date | 2006-06-15 |
| Last Updated Date | 2022-02-11 |
Provider Mailing Address Detail
| Address | 124 5th St |
|---|---|
| City | Wilder |
| State | Idaho (ID) |
| Post Code | 836765540 |
| Phone Number | 2084827430 |
| Fax Number | 2084827272 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA582 |
|
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 |
|---|---|---|---|
| 807305900 | ID | -- |
Post Comment/ Review Below
Can you provide the Kristine P Kingery's physical address?
The Kristine P Kingery is physically located at 124 5Th St, in the city of Wilder, ID, with the postal code 836765540.
What is the Kristine P Kingery's area of specialization and corresponding taxonomy classification?
The Kristine P Kingery'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 Kristine P Kingery receive its 1679517155?
The Kristine P Kingery was issued its 1679517155 on 2006-06-15, which is the date when the organization was assigned this unique identifier.
On what date did the Kristine P Kingery receive its 1679517155 assignment from the Centers for Medicare & Medicaid Services?
The Kristine P Kingery was assigned its 1679517155 by the Centers for Medicare & Medicaid Services on 2006-06-15.
As of what date were the Kristine P Kingery's details last updated?
The information pertaining to the Kristine P Kingery, including its address, specialty, and other details, was most recently updated on 2022-02-11.