Charles Caddy in Anthony - Physician Assistant
Charles Caddy - NPI 1194702712
Charles Caddy is a Physician Assistant in Anthony, Kansas. Charles Caddy practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Charles Caddy is 1194702712. The last update date is 2020-12-07.
Charles Caddy's current location address is 485 N Ks Hwy 2, Anthony, Kansas. You can contact this provider via phone number 6209141200 and fax number 6209141256. The mailing address for Charles Caddy is 485 N Ks Hwy 2, Anthony, Kansas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Charles Caddy |
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Address | 485 N Ks Hwy 2, Anthony, Kansas |
Phone Number | 6209141200 |
Fax Number | 6209141256 |
Sole Proprietor | Y |
Credentials | RPA-C |
NPI Number Detail
NPI Number | 1194702712 |
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Provider Enumeration Date | 2005-12-23 |
Last Updated Date | 2020-12-07 |
Provider Mailing Address Detail
Address | 485 N Ks Hwy 2 |
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City | Anthony |
State | Kansas (KS) |
Post Code | 670032526 |
Phone Number | 6209141200 |
Fax Number | 6209141256 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | 1500771 |
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 |
---|---|---|---|
100407220E | KS | -- |
Post Comment/ Review Below
What is the Charles Caddy's 1194702712?
The Charles Caddy's NPI (National Provider Identifier) Number is 1194702712. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Charles Caddy?
The Charles Caddy is physically situated at 485 N Ks Hwy 2, in the city of Anthony, state of KS, with the postal code 670032526.
What is Charles Caddy's specialized field of practice, and what is the corresponding taxonomy classification code?
The Charles Caddy's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1194702712 to Charles Caddy?
The Centers for Medicare & Medicaid Services assigned the 1194702712 to Charles Caddy on 2005-12-23.
When was the information related to Charles Caddy most recently updated or refreshed?
The details pertaining to the Charles Caddy, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-12-07.