Kenneth C. Holbrook in Austell - Physician Assistant
Kenneth C. Holbrook - NPI 1194790139
Kenneth C. Holbrook is a Physician Assistant in Austell, Georgia. Kenneth C. Holbrook practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kenneth C. Holbrook is 1194790139. The last update date is 2011-05-20.
Kenneth C. Holbrook's current location address is 2041 Mesa Valley Way, Austell, Georgia. You can contact this provider via phone number 7709441100 and fax number 7709446469. The mailing address for Kenneth C. Holbrook is 2041 Mesa Valley Way, Austell, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth C. Holbrook |
|---|---|
| Address | 2041 Mesa Valley Way, Austell, Georgia |
| Phone Number | 7709441100 |
| Fax Number | 7709446469 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1194790139 |
|---|---|
| Provider Enumeration Date | 2006-02-22 |
| Last Updated Date | 2011-05-20 |
Provider Mailing Address Detail
| Address | 2041 Mesa Valley Way |
|---|---|
| City | Austell |
| State | Georgia (GA) |
| Post Code | 301066828 |
| Phone Number | 7709441100 |
| Fax Number | 7709446469 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 3877 |
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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 |
|---|---|---|---|
| 000150059B | GA | -- | |
| 100002161B | GA | -- | |
| 000150059C | GA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Kenneth C. Holbrook by the Centers for Medicare & Medicaid Services?
The Kenneth C. Holbrook has been issued the NPI (National Provider Identifier) 1194790139. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Kenneth C. Holbrook is physically located?
The Kenneth C. Holbrook is situated at the following address: 2041 Mesa Valley Way, Austell, GA 301066828.
What is Kenneth C. Holbrook's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kenneth C. Holbrook's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
When did the Kenneth C. Holbrook receive its 1194790139?
The Kenneth C. Holbrook was issued its 1194790139 on 2006-02-22, which is the date when the organization was assigned this unique identifier.
When was the information related to Kenneth C. Holbrook most recently updated or refreshed?
The details pertaining to the Kenneth C. Holbrook, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-05-20.