Kodi M Bone in Grand Rapids - Physician Assistant
Kodi M Bone - NPI 1184886012
Kodi M Bone is a Physician Assistant in Grand Rapids, Michigan. Kodi M Bone practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kodi M Bone is 1184886012. The last update date is 2022-06-24.
Kodi M Bone's current location address is 100 Michigan St Ne # Mc845, Grand Rapids, Michigan. You can contact this provider via phone number 6164866790 and fax number 9075806444. The mailing address for Kodi M Bone is 100 Michigan St Ne # Mc845, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kodi M Bone |
|---|---|
| Address | 100 Michigan St Ne # Mc845, Grand Rapids, Michigan |
| Phone Number | 6164866790 |
| Fax Number | 9075806444 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1184886012 |
|---|---|
| Provider Enumeration Date | 2008-07-01 |
| Last Updated Date | 2022-06-24 |
Provider Mailing Address Detail
| Address | 100 Michigan St Ne # Mc845 |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495032560 |
| Phone Number | 6164866790 |
| Fax Number | 9075806444 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
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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 10-digit identification code issued to Kodi M Bone by the Centers for Medicare & Medicaid Services?
The Kodi M Bone has been assigned the NPI (National Provider Identifier) 1184886012 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Kodi M Bone is located?
The Kodi M Bone is situated at the following address: 100 Michigan St Ne # Mc845, Grand Rapids, MI, 495032560.
What is Kodi M Bone's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kodi M Bone'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 Kodi M Bone receive the assignment of its 1184886012 from the Centers for Medicare & Medicaid Services?
The Kodi M Bone was issued its 1184886012 by the Centers for Medicare & Medicaid Services on 2008-07-01.
As of what date were the details pertaining to Kodi M Bone last refreshed?
The information related to the Kodi M Bone, including its address, specialty, and other relevant details, was last updated on 2022-06-24.
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