Kendra Lynne Church in Stoneham - Physician Assistant
Kendra Lynne Church - NPI 1043261381
Kendra Lynne Church is a Physician Assistant in Stoneham, Massachusetts. Kendra Lynne Church practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kendra Lynne Church is 1043261381. The last update date is 2015-03-11.
Kendra Lynne Church's current location address is 17 Chestnut Street, Stoneham, Massachusetts. You can contact this provider via phone number 6179218072. The mailing address for Kendra Lynne Church is 17 Chestnut Street, Stoneham, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kendra Lynne Church |
|---|---|
| Address | 17 Chestnut Street, Stoneham, Massachusetts |
| Phone Number | 6179218072 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MS PA C |
NPI Number Detail
| NPI Number | 1043261381 |
|---|---|
| Provider Enumeration Date | 2006-05-12 |
| Last Updated Date | 2015-03-11 |
Provider Mailing Address Detail
| Address | 17 Chestnut Street |
|---|---|
| City | Stoneham |
| State | Massachusetts (MA) |
| Post Code | 2180 |
| Phone Number | 6179218072 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1388 |
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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 identification code assigned to Kendra Lynne Church by the Centers for Medicare & Medicaid Services?
The Kendra Lynne Church has been issued the NPI (National Provider Identifier) 1043261381. 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 address where Kendra Lynne Church is physically located?
The Kendra Lynne Church is situated at the following address: 17 Chestnut Street, Stoneham, MA 2180.
What is Kendra Lynne Church's area of expertise and its corresponding taxonomy classification?
The Kendra Lynne Church's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
When did Kendra Lynne Church receive its 1043261381 assignment?
The Kendra Lynne Church was assigned its 1043261381 on 2006-05-12, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Kendra Lynne Church, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kendra Lynne Church, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-03-11.