Lee Ann Clark in Kailua Kona - Physician Assistant
Lee Ann Clark - NPI 1770562381
Lee Ann Clark is a Physician Assistant in Kailua Kona, Hawaii. Lee Ann Clark practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Lee Ann Clark is 1770562381. The last update date is 2021-05-27.
Lee Ann Clark's current location address is 74-517 Honokohau St, Kailua Kona, Hawaii. You can contact this provider via phone number 8083344400. The mailing address for Lee Ann Clark is 74-517 Honokohau St, Kailua Kona, Hawaii. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lee Ann Clark |
|---|---|
| Address | 74-517 Honokohau St, Kailua Kona, Hawaii |
| Phone Number | 8083344400 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1770562381 |
|---|---|
| Provider Enumeration Date | 2006-01-11 |
| Last Updated Date | 2021-05-27 |
Provider Mailing Address Detail
| Address | 74-517 Honokohau St |
|---|---|
| City | Kailua Kona |
| State | Hawaii (HI) |
| Post Code | 967402715 |
| Phone Number | 8083344400 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA9101881 |
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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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What is the unique identifier code issued to Lee Ann Clark by the Centers for Medicare & Medicaid Services?
The Lee Ann Clark has been assigned the NPI (National Provider Identifier) 1770562381. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Lee Ann Clark's physical address?
The Lee Ann Clark is physically located at 74-517 Honokohau St, in the city of Kailua Kona, HI, with the postal code 967402715.
What is the Lee Ann Clark's area of specialization and corresponding taxonomy classification?
The Lee Ann Clark's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date did the Lee Ann Clark receive its 1770562381 assignment from the Centers for Medicare & Medicaid Services?
The Lee Ann Clark was assigned its 1770562381 by the Centers for Medicare & Medicaid Services on 2006-01-11.
When was the information pertaining to Lee Ann Clark most recently updated or revised?
The details related to Lee Ann Clark, including its address, specialty, and other relevant information, were last updated or revised on 2021-05-27.