Jacqueline Ann Kent in Brockport - Physician Assistant
Jacqueline Ann Kent - NPI 1568454437
Jacqueline Ann Kent is a Physician Assistant in Brockport, New York. Jacqueline Ann Kent practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jacqueline Ann Kent is 1568454437. The last update date is 2023-07-05.
Jacqueline Ann Kent's current location address is 4079 Lake Rd N, Brockport, New York. You can contact this provider via phone number 5856370151 and fax number 5856370562. The mailing address for Jacqueline Ann Kent is 4079 Lake Rd N, Brockport, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacqueline Ann Kent |
|---|---|
| Address | 4079 Lake Rd N, Brockport, New York |
| Phone Number | 5856370151 |
| Fax Number | 5856370562 |
| Sole Proprietor | N |
| Credentials | RPA-C |
NPI Number Detail
| NPI Number | 1568454437 |
|---|---|
| Provider Enumeration Date | 2005-08-17 |
| Last Updated Date | 2023-07-05 |
Provider Mailing Address Detail
| Address | 4079 Lake Rd N |
|---|---|
| City | Brockport |
| State | New York (NY) |
| Post Code | 144201517 |
| Phone Number | 5856370151 |
| Fax Number | 5856370562 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 6742 |
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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 |
|---|---|---|---|
| 2605498 | NY | -- | |
| 925083002 | NY | COMMUNITY BLUE / WNY | |
| 109969BF | NY | PREFERRED CARE | |
| P019006742 | NY | BLUE CHOICE |
Post Comment/ Review Below
What is the Jacqueline Ann Kent's 1568454437?
The Jacqueline Ann Kent's NPI (National Provider Identifier) Number is 1568454437. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Jacqueline Ann Kent's physical address?
The Jacqueline Ann Kent is physically located at 4079 Lake Rd N, in the city of Brockport, NY, with the postal code 144201517.
What is Jacqueline Ann Kent's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jacqueline Ann Kent'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 Jacqueline Ann Kent receive the assignment of its 1568454437 from the Centers for Medicare & Medicaid Services?
The Jacqueline Ann Kent was issued its 1568454437 by the Centers for Medicare & Medicaid Services on 2005-08-17.
When was the information related to Jacqueline Ann Kent most recently updated or refreshed?
The details pertaining to the Jacqueline Ann Kent, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-07-05.