Kelly Shores Juarez in Falls Church - Physician Assistant
Kelly Shores Juarez - NPI 1326192493
Kelly Shores Juarez is a Physician Assistant in Falls Church, Virginia. Kelly Shores Juarez practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kelly Shores Juarez is 1326192493. The last update date is 2020-06-16.
Kelly Shores Juarez's current location address is 3300 Gallows Rd, Falls Church, Virginia. You can contact this provider via phone number 7037764001 and fax number 7037767113. The mailing address for Kelly Shores Juarez is 3300 Gallows Rd, Falls Church, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Shores Juarez |
|---|---|
| Address | 3300 Gallows Rd, Falls Church, Virginia |
| Phone Number | 7037764001 |
| Fax Number | 7037767113 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1326192493 |
|---|---|
| Provider Enumeration Date | 2007-01-23 |
| Last Updated Date | 2020-06-16 |
Provider Mailing Address Detail
| Address | 3300 Gallows Rd |
|---|---|
| City | Falls Church |
| State | Virginia (VA) |
| Post Code | 220423307 |
| Phone Number | 7037764001 |
| Fax Number | 7037767113 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 110003194 |
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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 unique identification code assigned to Kelly Shores Juarez by the Centers for Medicare & Medicaid Services?
The Kelly Shores Juarez has been issued the NPI (National Provider Identifier) 1326192493. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Kelly Shores Juarez is located?
The Kelly Shores Juarez is situated at the following address: 3300 Gallows Rd, Falls Church, VA, 220423307.
What is Kelly Shores Juarez's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kelly Shores Juarez is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
On what date did Kelly Shores Juarez receive its 1326192493 assignment from the Centers for Medicare & Medicaid Services?
The Kelly Shores Juarez was assigned its 1326192493 on 2007-01-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Kelly Shores Juarez, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kelly Shores Juarez, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-06-16.
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