Jacklynn A Kment in Lincoln - Physician Assistant
Jacklynn A Kment - NPI 1003813767
Jacklynn A Kment is a Physician Assistant in Lincoln, Nebraska. Jacklynn A Kment practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jacklynn A Kment is 1003813767. The last update date is 2019-02-19.
Jacklynn A Kment's current location address is 1620 S 70th St Ste 103, Lincoln, Nebraska. You can contact this provider via phone number 4023183550 and fax number 4023183546. The mailing address for Jacklynn A Kment is 1620 S 70th St Ste 103, Lincoln, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacklynn A Kment |
|---|---|
| Address | 1620 S 70th St Ste 103, Lincoln, Nebraska |
| Phone Number | 4023183550 |
| Fax Number | 4023183546 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1003813767 |
|---|---|
| Provider Enumeration Date | 2005-07-07 |
| Last Updated Date | 2019-02-19 |
Provider Mailing Address Detail
| Address | 1620 S 70th St Ste 103 |
|---|---|
| City | Lincoln |
| State | Nebraska (NE) |
| Post Code | 685061563 |
| Phone Number | 4023183550 |
| Fax Number | 4023183546 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 598 |
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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 |
|---|---|---|---|
| 970013133 | NE | RAILROAD MEDICARE | |
| 37758 | NE | BLUE SHIELD | |
| 47065843713 | NE | -- |
Post Comment/ Review Below
What is the Jacklynn A Kment's unique identification number?
The Jacklynn A Kment has been assigned the NPI (National Provider Identifier) Number 1003813767 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Jacklynn A Kment is physically located?
The Jacklynn A Kment is situated at the following address: 1620 S 70Th St Ste 103, Lincoln, NE 685061563.
What is Jacklynn A Kment's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jacklynn A Kment is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
On what date did Jacklynn A Kment receive its 1003813767 assignment from the Centers for Medicare & Medicaid Services?
The Jacklynn A Kment was assigned its 1003813767 on 2005-07-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Jacklynn A Kment last refreshed?
The information related to the Jacklynn A Kment, including its address, specialty, and other relevant details, was last updated on 2019-02-19.