Andra R Kennedy in Johnston - Physician Assistant
Andra R Kennedy - NPI 1083674097
Andra R Kennedy is a Physician Assistant in Johnston, Iowa. Andra R Kennedy practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Andra R Kennedy is 1083674097. The last update date is 2007-10-16.
Andra R Kennedy's current location address is 5900 Nw 86th St, Johnston, Iowa. You can contact this provider via phone number 5152766133 and fax number 5153347356. The mailing address for Andra R Kennedy is 5900 Nw 86th St, Johnston, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andra R Kennedy |
|---|---|
| Address | 5900 Nw 86th St, Johnston, Iowa |
| Phone Number | 5152766133 |
| Fax Number | 5153347356 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1083674097 |
|---|---|
| Provider Enumeration Date | 2006-03-24 |
| Last Updated Date | 2007-10-16 |
Provider Mailing Address Detail
| Address | 5900 Nw 86th St |
|---|---|
| City | Johnston |
| State | Iowa (IA) |
| Post Code | 501312284 |
| Phone Number | 5152766133 |
| Fax Number | 5153347356 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 648 |
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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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Post Comment/ Review Below
What is the Andra R Kennedy's 1083674097?
The Andra R Kennedy's NPI (National Provider Identifier) Number is 1083674097. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Andra R Kennedy's facilities are geographically located?
The facilities of Andra R Kennedy are physically situated at the following location: 5900 Nw 86Th St, Johnston, IA, 501312284.
What is Andra R Kennedy's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Andra R Kennedy is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1083674097 to Andra R Kennedy?
The Andra R Kennedy received its 1083674097 assignment from the Centers for Medicare & Medicaid Services on 2006-03-24.
As of what date was the information pertaining to Andra R Kennedy, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Andra R Kennedy, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-10-16.