Kirk A Fougnie in Louisville - Physician Assistant
Kirk A Fougnie - NPI 1295734747
Kirk A Fougnie is a Physician Assistant in Louisville, Kentucky. Kirk A Fougnie practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kirk A Fougnie is 1295734747. The last update date is 2015-10-19.
Kirk A Fougnie's current location address is 4331 Churchman Ave, Louisville, Kentucky. You can contact this provider via phone number 5023640902 and fax number 5023640099. The mailing address for Kirk A Fougnie is 4331 Churchman Ave, Louisville, Kentucky. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kirk A Fougnie |
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Address | 4331 Churchman Ave, Louisville, Kentucky |
Phone Number | 5023640902 |
Fax Number | 5023640099 |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1295734747 |
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Provider Enumeration Date | 2005-07-18 |
Last Updated Date | 2015-10-19 |
Provider Mailing Address Detail
Address | 4331 Churchman Ave |
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City | Louisville |
State | Kentucky (KY) |
Post Code | 402151164 |
Phone Number | 5023640902 |
Fax Number | 5023640099 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | PA582 |
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 |
---|---|---|---|
95001475 | KY | -- | |
50019798 | KY | PASSPORT HEALTH PLAN |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kirk A Fougnie by the Centers for Medicare & Medicaid Services?
The Kirk A Fougnie has been issued the NPI (National Provider Identifier) 1295734747 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Kirk A Fougnie is located?
The Kirk A Fougnie is situated at the following address: 4331 Churchman Ave, Louisville, KY, 402151164.
Could you kindly provide the complete physical address where Kirk A Fougnie's facilities are geographically located?
The facilities of Kirk A Fougnie are physically situated at the following location: 4331 Churchman Ave, Louisville, KY, 402151164.
What is Kirk A Fougnie's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kirk A Fougnie is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
On what date did Kirk A Fougnie receive its 1295734747 assignment from the Centers for Medicare & Medicaid Services?
The Kirk A Fougnie was assigned its 1295734747 on 2005-07-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
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