Kennworth Eaton in Hampton Bays - Physician Assistant
Kennworth Eaton - NPI 1891984548
Kennworth Eaton is a Physician Assistant in Hampton Bays, New York. Kennworth Eaton practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kennworth Eaton is 1891984548. The last update date is 2021-06-07.
Kennworth Eaton's current location address is 240 W Montauk Hwy, Hampton Bays, New York. You can contact this provider via phone number 6317284500 and fax number 6317284564. The mailing address for Kennworth Eaton is 240 W Montauk Hwy, Hampton Bays, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kennworth Eaton |
|---|---|
| Address | 240 W Montauk Hwy, Hampton Bays, New York |
| Phone Number | 6317284500 |
| Fax Number | 6317284564 |
| Sole Proprietor | Y |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1891984548 |
|---|---|
| Provider Enumeration Date | 2007-10-18 |
| Last Updated Date | 2021-06-07 |
Provider Mailing Address Detail
| Address | 240 W Montauk Hwy |
|---|---|
| City | Hampton Bays |
| State | New York (NY) |
| Post Code | 119463510 |
| Phone Number | 6317284500 |
| Fax Number | 6317284564 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 6619 |
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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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What is the unique 10-digit identification code assigned to Kennworth Eaton by the Centers for Medicare & Medicaid Services?
The Kennworth Eaton has been issued the NPI (National Provider Identifier) 1891984548, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Kennworth Eaton?
The Kennworth Eaton is situated at 240 W Montauk Hwy, in the city of Hampton Bays, state of NY, with the zip code 119463510.
What is Kennworth Eaton's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kennworth Eaton's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
When did Kennworth Eaton receive its 1891984548 assignment?
The Kennworth Eaton was assigned its 1891984548 on 2007-10-18, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Kennworth Eaton last refreshed?
The information related to the Kennworth Eaton, including its address, specialty, and other relevant details, was last updated on 2021-06-07.
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