Kevin J. Wentworth in Dansville - Physician Assistant
Kevin J. Wentworth - NPI 1215155056
Kevin J. Wentworth is a Physician Assistant in Dansville, New York. Kevin J. Wentworth practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kevin J. Wentworth is 1215155056. The last update date is 2023-06-30.
Kevin J. Wentworth's current location address is 111 Clara Barton Street, Dansville, New York. You can contact this provider via phone number 5853356001. The mailing address for Kevin J. Wentworth is 111 Clara Barton Street, Dansville, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin J. Wentworth |
|---|---|
| Address | 111 Clara Barton Street, Dansville, New York |
| Phone Number | 5853356001 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | RPA-C |
NPI Number Detail
| NPI Number | 1215155056 |
|---|---|
| Provider Enumeration Date | 2007-04-24 |
| Last Updated Date | 2023-06-30 |
Provider Mailing Address Detail
| Address | 111 Clara Barton Street |
|---|---|
| City | Dansville |
| State | New York (NY) |
| Post Code | 144379503 |
| Phone Number | 5853356001 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 2269 |
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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 |
|---|---|---|---|
| 149288 | NY | PREFERRED CARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Kevin J. Wentworth by the Centers for Medicare & Medicaid Services?
The Kevin J. Wentworth has been assigned the NPI (National Provider Identifier) 1215155056 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Kevin J. Wentworth's facilities are situated?
The facilities of Kevin J. Wentworth are physically located at the following address: 111 Clara Barton Street, Dansville, NY, 144379503.
What is the Kevin J. Wentworth's area of specialization and corresponding taxonomy classification?
The Kevin J. Wentworth's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date did Kevin J. Wentworth receive its 1215155056 assignment from the Centers for Medicare & Medicaid Services?
The Kevin J. Wentworth was assigned its 1215155056 on 2007-04-24, 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 Kevin J. Wentworth last refreshed?
The information related to the Kevin J. Wentworth, including its address, specialty, and other relevant details, was last updated on 2023-06-30.
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