Kathleen Dawn Smith in Springfield - Physician Assistant
Kathleen Dawn Smith - NPI 1306833702
Kathleen Dawn Smith is a Physician Assistant in Springfield, Missouri. Kathleen Dawn Smith practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kathleen Dawn Smith is 1306833702. The last update date is 2010-02-03.
Kathleen Dawn Smith's current location address is 3231 S National Ave, Springfield, Missouri. You can contact this provider via phone number 4178885666 and fax number 4178904174. The mailing address for Kathleen Dawn Smith is 3231 S National Ave, Springfield, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathleen Dawn Smith |
|---|---|
| Address | 3231 S National Ave, Springfield, Missouri |
| Phone Number | 4178885666 |
| Fax Number | 4178904174 |
| Sole Proprietor | Y |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1306833702 |
|---|---|
| Provider Enumeration Date | 2005-09-30 |
| Last Updated Date | 2010-02-03 |
Provider Mailing Address Detail
| Address | 3231 S National Ave |
|---|---|
| City | Springfield |
| State | Missouri (MO) |
| Post Code | 658077304 |
| Phone Number | 4178885666 |
| Fax Number | 4178904174 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 878 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 431560263 | TRICARE WEST | ||
| P00653964 | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kathleen Dawn Smith by the Centers for Medicare & Medicaid Services?
The Kathleen Dawn Smith has been issued the NPI (National Provider Identifier) 1306833702, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Kathleen Dawn Smith?
The Kathleen Dawn Smith is physically situated at 3231 S National Ave, in the city of Springfield, state of MO, with the postal code 658077304.
What is Kathleen Dawn Smith's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kathleen Dawn Smith is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
When was the Kathleen Dawn Smith's 1306833702 issued?
The Kathleen Dawn Smith's 1306833702 was issued on 2005-09-30.
As of what date were the details related to Kathleen Dawn Smith most recently updated or revised?
The information pertaining to Kathleen Dawn Smith, including its address, specialty, and other relevant details, was last updated or revised on 2010-02-03.
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