Kenneth R Massey in Terre Haute - Physician Assistant

Kenneth R Massey - NPI 1073627691

Kenneth R Massey is a Physician Assistant in Terre Haute, Indiana. Kenneth R Massey practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kenneth R Massey is 1073627691. The last update date is 2008-05-27.

Kenneth R Massey's current location address is 2723 S 7th Street, Terre Haute, Indiana. You can contact this provider via phone number 8122328164 and fax number 8122346391. The mailing address for Kenneth R Massey is 2723 S 7th Street, Terre Haute, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth R Massey
Address 2723 S 7th Street, Terre Haute, Indiana
Phone Number 8122328164
Fax Number 8122346391
Sole Proprietor N
Credentials PAC

NPI Number Detail

NPI Number 1073627691
Provider Enumeration Date 2006-08-19
Last Updated Date 2008-05-27

Provider Mailing Address Detail

Address 2723 S 7th Street
City Terre Haute
State Indiana (IN)
Post Code 478023558
Phone Number 8122328164
Fax Number 8122346391

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 10000863A
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
650485596006 IN CHAMPUS-TRICARE

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FAQs about Kenneth R Massey

What is the unique identifier code issued to Kenneth R Massey by the Centers for Medicare & Medicaid Services?

The Kenneth R Massey has been assigned the NPI (National Provider Identifier) 1073627691. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Kenneth R Massey's facilities are situated?

The facilities of Kenneth R Massey are physically located at the following address: 2723 S 7Th Street, Terre Haute, IN, 478023558.

What is Kenneth R Massey's area of expertise and its corresponding taxonomy classification?

The Kenneth R Massey's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.

On what date was the 1073627691 assigned to Kenneth R Massey?

The Kenneth R Massey was issued its 1073627691 on 2006-08-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Kenneth R Massey's details last updated?

The information pertaining to the Kenneth R Massey, including its address, specialty, and other details, was most recently updated on 2008-05-27.

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