Kenneth David Kinnan in Lees Summit - Physician Assistant
Kenneth David Kinnan - NPI 1891856159
Kenneth David Kinnan is a Physician Assistant in Lees Summit, Missouri. Kenneth David Kinnan practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kenneth David Kinnan is 1891856159. The last update date is 2019-04-09.
Kenneth David Kinnan's current location address is 120 Ne Saint Lukes Blvd Ste 200, Lees Summit, Missouri. You can contact this provider via phone number 8162464302 and fax number 8162469493. The mailing address for Kenneth David Kinnan is 120 Ne Saint Lukes Blvd Ste 200, Lees Summit, Missouri. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kenneth David Kinnan |
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Address | 120 Ne Saint Lukes Blvd Ste 200, Lees Summit, Missouri |
Phone Number | 8162464302 |
Fax Number | 8162469493 |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1891856159 |
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Provider Enumeration Date | 2006-12-12 |
Last Updated Date | 2019-04-09 |
Provider Mailing Address Detail
Address | 120 Ne Saint Lukes Blvd Ste 200 |
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City | Lees Summit |
State | Missouri (MO) |
Post Code | 640866011 |
Phone Number | 8162464302 |
Fax Number | 8162469493 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | 15-00968 |
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 10-digit identifier code issued to Kenneth David Kinnan by the Centers for Medicare & Medicaid Services?
The Kenneth David Kinnan has been assigned the NPI (National Provider Identifier) 1891856159 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Kenneth David Kinnan is physically located?
The Kenneth David Kinnan is physically situated at the following address: 120 Ne Saint Lukes Blvd Ste 200, Lees Summit, MO, 640866011.
What is Kenneth David Kinnan's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kenneth David Kinnan'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 Centers for Medicare & Medicaid Services issue the 1891856159 to Kenneth David Kinnan?
The Kenneth David Kinnan received its 1891856159 assignment from the Centers for Medicare & Medicaid Services on 2006-12-12.
When was the information pertaining to Kenneth David Kinnan most recently updated or revised?
The details related to Kenneth David Kinnan, including its address, specialty, and other relevant information, were last updated or revised on 2019-04-09.