Kevin J. Prater in West Des Moines - Physician Assistant
Kevin J. Prater - NPI 1194706176
Kevin J. Prater is a Physician Assistant in West Des Moines, Iowa. Kevin J. Prater practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kevin J. Prater is 1194706176. The last update date is 2015-06-08.
Kevin J. Prater's current location address is 105 Valley West Dr, West Des Moines, Iowa. You can contact this provider via phone number 5152234368 and fax number 5154532368. The mailing address for Kevin J. Prater is 105 Valley West Dr, West Des Moines, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin J. Prater |
|---|---|
| Address | 105 Valley West Dr, West Des Moines, Iowa |
| Phone Number | 5152234368 |
| Fax Number | 5154532368 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1194706176 |
|---|---|
| Provider Enumeration Date | 2005-11-08 |
| Last Updated Date | 2015-06-08 |
Provider Mailing Address Detail
| Address | 105 Valley West Dr |
|---|---|
| City | West Des Moines |
| State | Iowa (IA) |
| Post Code | 502653902 |
| Phone Number | 5152234368 |
| Fax Number | 5154532368 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1453 |
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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 |
|---|---|---|---|
| IB2608010 | IA | MEDICARE PTAN | |
| IB2878003 | IA | MEDICARE PTAN | |
| IB2610005 | IA | MEDICARE PTAN | |
| IB2609013 | IA | MEDICARE PTAN |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kevin J. Prater by the Centers for Medicare & Medicaid Services?
The Kevin J. Prater has been issued the NPI (National Provider Identifier) 1194706176, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Kevin J. Prater's physical address?
The Kevin J. Prater is physically located at 105 Valley West Dr, in the city of West Des Moines, IA, with the postal code 502653902.
Could you please provide the complete street address where Kevin J. Prater is physically located?
The Kevin J. Prater is physically situated at the following address: 105 Valley West Dr, West Des Moines, IA, 502653902.
On what date did the Kevin J. Prater receive its 1194706176 assignment from the Centers for Medicare & Medicaid Services?
The Kevin J. Prater was assigned its 1194706176 by the Centers for Medicare & Medicaid Services on 2005-11-08.
As of what date were the Kevin J. Prater's details last updated?
The information pertaining to the Kevin J. Prater, including its address, specialty, and other details, was most recently updated on 2015-06-08.
NPI Number: 1528061710
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