Kendee D Koster in Kearney - Physician Assistant
Kendee D Koster - NPI 1285718072
Kendee D Koster is a Physician Assistant in Kearney, Nebraska. Kendee D Koster practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kendee D Koster is 1285718072. The last update date is 2007-07-08.
Kendee D Koster's current location address is Po Box 670, Kearney, Nebraska. You can contact this provider via phone number 3088652141 and fax number 3082347582. The mailing address for Kendee D Koster is Po Box 670, Kearney, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kendee D Koster |
|---|---|
| Address | Po Box 670, Kearney, Nebraska |
| Phone Number | 3088652141 |
| Fax Number | 3082347582 |
| Sole Proprietor | N |
| Credentials | PA C |
NPI Number Detail
| NPI Number | 1285718072 |
|---|---|
| Provider Enumeration Date | 2006-10-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 670 |
|---|---|
| City | Kearney |
| State | Nebraska (NE) |
| Post Code | 68848 |
| Phone Number | 3088652141 |
| Fax Number | 3082347582 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1057 |
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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 |
|---|---|---|---|
| 37447 | BCBS | ||
| 47064194508 | NE | -- |
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What is the Kendee D Koster's specialty and taxonomy code?
The Kendee D Koster's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
When was the Kendee D Koster's 1285718072 issued?
The Kendee D Koster's 1285718072 was issued on 2006-10-25.
On what date did the Centers for Medicare & Medicaid Services issue the 1285718072 to Kendee D Koster?
The Kendee D Koster received its 1285718072 assignment from the Centers for Medicare & Medicaid Services on 2006-10-25.
When was the Kendee D Koster's information last updated?
The Kendee D Koster's information was last updated on 2007-07-08.
When was the information pertaining to Kendee D Koster most recently updated or revised?
The details related to Kendee D Koster, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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