Kadajdra Duckett in Smithtown - Physician Assistant
Kadajdra Duckett - NPI 1730200502
Kadajdra Duckett is a Physician Assistant in Smithtown, New York. Kadajdra Duckett practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kadajdra Duckett is 1730200502. The last update date is 2007-07-08.
Kadajdra Duckett's current location address is 70 Maple Ave, Smithtown, New York. You can contact this provider via phone number 6312401111 and fax number 6313617678. The mailing address for Kadajdra Duckett is 70 Maple Ave, Smithtown, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kadajdra Duckett |
|---|---|
| Address | 70 Maple Ave, Smithtown, New York |
| Phone Number | 6312401111 |
| Fax Number | 6313617678 |
| Sole Proprietor | N |
| Credentials | RPA-C |
NPI Number Detail
| NPI Number | 1730200502 |
|---|---|
| Provider Enumeration Date | 2007-04-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 70 Maple Ave |
|---|---|
| City | Smithtown |
| State | New York (NY) |
| Post Code | 117873502 |
| Phone Number | 6312401111 |
| Fax Number | 6313617678 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 5006 |
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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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Post Comment/ Review Below
What is the Kadajdra Duckett's 1730200502?
The Kadajdra Duckett's NPI (National Provider Identifier) Number is 1730200502. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Kadajdra Duckett's facilities are geographically located?
The facilities of Kadajdra Duckett are physically situated at the following location: 70 Maple Ave, Smithtown, NY, 117873502.
What is Kadajdra Duckett's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kadajdra Duckett is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1730200502 to Kadajdra Duckett?
The Centers for Medicare & Medicaid Services assigned the 1730200502 to Kadajdra Duckett on 2007-04-02.
As of what date were the details pertaining to Kadajdra Duckett last refreshed?
The information related to the Kadajdra Duckett, including its address, specialty, and other relevant details, was last updated on 2007-07-08.