Kezia Sullivan in Auburn - Physician Assistant
Kezia Sullivan - NPI 1336325067
Kezia Sullivan is a Physician Assistant in Auburn, New York. Kezia Sullivan practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kezia Sullivan is 1336325067. The last update date is 2019-03-04.
Kezia Sullivan's current location address is 17 Lansing St, Auburn, New York. You can contact this provider via phone number 3155670437. The mailing address for Kezia Sullivan is 17 Lansing St, Auburn, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kezia Sullivan |
|---|---|
| Address | 17 Lansing St, Auburn, New York |
| Phone Number | 3155670437 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | RPA-C |
NPI Number Detail
| NPI Number | 1336325067 |
|---|---|
| Provider Enumeration Date | 2008-01-11 |
| Last Updated Date | 2019-03-04 |
Provider Mailing Address Detail
| Address | 17 Lansing St |
|---|---|
| City | Auburn |
| State | New York (NY) |
| Post Code | 130211983 |
| Phone Number | 3155670437 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 11828 |
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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 |
|---|---|---|---|
| 3278613 | NY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Kezia Sullivan by the Centers for Medicare & Medicaid Services?
The Kezia Sullivan has been assigned the NPI (National Provider Identifier) 1336325067. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Kezia Sullivan's physical address?
The Kezia Sullivan is physically located at 17 Lansing St, in the city of Auburn, NY, with the postal code 130211983.
What is Kezia Sullivan's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kezia Sullivan is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
When did Kezia Sullivan receive its 1336325067 assignment?
The Kezia Sullivan was assigned its 1336325067 on 2008-01-11, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Kezia Sullivan most recently updated or revised?
The information pertaining to Kezia Sullivan, including its address, specialty, and other relevant details, was last updated or revised on 2019-03-04.
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