Larry Charles Plummer in Fort Campbell - Physician Assistant
Larry Charles Plummer - NPI 1336345073
Larry Charles Plummer is a Physician Assistant in Fort Campbell, Kentucky. Larry Charles Plummer practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Larry Charles Plummer is 1336345073. The last update date is 2016-04-27.
Larry Charles Plummer's current location address is 650 Joel Dr, Fort Campbell, Kentucky. You can contact this provider via phone number 2707984677. The mailing address for Larry Charles Plummer is 650 Joel Dr, Fort Campbell, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry Charles Plummer |
|---|---|
| Address | 650 Joel Dr, Fort Campbell, Kentucky |
| Phone Number | 2707984677 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1336345073 |
|---|---|
| Provider Enumeration Date | 2007-06-21 |
| Last Updated Date | 2016-04-27 |
Provider Mailing Address Detail
| Address | 650 Joel Dr |
|---|---|
| City | Fort Campbell |
| State | Kentucky (KY) |
| Post Code | 422235318 |
| Phone Number | 2707984677 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 977-023 |
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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 provider identifier assigned to Larry Charles Plummer?
The Larry Charles Plummer has been issued the NPI (National Provider Identifier) 1336345073 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Larry Charles Plummer?
The Larry Charles Plummer is situated at 650 Joel Dr, in the city of Fort Campbell, state of KY, with the zip code 422235318.
What is the Larry Charles Plummer's specialty and taxonomy code?
The Larry Charles Plummer's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did the Larry Charles Plummer receive its 1336345073 assignment from the Centers for Medicare & Medicaid Services?
The Larry Charles Plummer was assigned its 1336345073 by the Centers for Medicare & Medicaid Services on 2007-06-21.
When was the information pertaining to Larry Charles Plummer most recently updated or revised?
The details related to Larry Charles Plummer, including its address, specialty, and other relevant information, were last updated or revised on 2016-04-27.