Kelly J Gingras in Dearborn - Physician Assistant
Kelly J Gingras - NPI 1972551935
Kelly J Gingras is a Physician Assistant in Dearborn, Michigan. Kelly J Gingras practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kelly J Gingras is 1972551935. The last update date is 2022-10-07.
Kelly J Gingras's current location address is 18101 Oakwood Blvd, Dearborn, Michigan. You can contact this provider via phone number 3139825440. The mailing address for Kelly J Gingras is 18101 Oakwood Blvd, Dearborn, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kelly J Gingras |
---|---|
Address | 18101 Oakwood Blvd, Dearborn, Michigan |
Phone Number | 3139825440 |
Fax Number | |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1972551935 |
---|---|
Provider Enumeration Date | 2006-05-04 |
Last Updated Date | 2022-10-07 |
Provider Mailing Address Detail
Address | 18101 Oakwood Blvd |
---|---|
City | Dearborn |
State | Michigan (MI) |
Post Code | 481244089 |
Phone Number | 3139825440 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
---|---|
Taxonomy | 363A00000X |
Licence No | 5601005311 |
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 |
---|---|---|---|
311098079 | TAX ID # | ||
PA25091 | PALMETTO MEDICARE | ||
353077 | SUBMITTER NO. |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Kelly J Gingras by the Centers for Medicare & Medicaid Services?
The Kelly J Gingras has been assigned the NPI (National Provider Identifier) 1972551935 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Kelly J Gingras?
The Kelly J Gingras is situated at 18101 Oakwood Blvd, in the city of Dearborn, state of MI, with the zip code 481244089.
What is Kelly J Gingras's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kelly J Gingras is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
When did the Kelly J Gingras receive its 1972551935?
The Kelly J Gingras was issued its 1972551935 on 2006-05-04, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Kelly J Gingras last refreshed?
The information related to the Kelly J Gingras, including its address, specialty, and other relevant details, was last updated on 2022-10-07.