Kacie Jo Costell Moody in Charlotte - Physician Assistant
Kacie Jo Costell Moody - NPI 1841461373
Kacie Jo Costell Moody is a Physician Assistant in Charlotte, North Carolina. Kacie Jo Costell Moody practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kacie Jo Costell Moody is 1841461373. The last update date is 2022-07-21.
Kacie Jo Costell Moody's current location address is Po Box 602148, Charlotte, North Carolina. You can contact this provider via phone number 7046673380 and fax number 7046673381. The mailing address for Kacie Jo Costell Moody is Po Box 602148, Charlotte, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kacie Jo Costell Moody |
|---|---|
| Address | Po Box 602148, Charlotte, North Carolina |
| Phone Number | 7046673380 |
| Fax Number | 7046673381 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1841461373 |
|---|---|
| Provider Enumeration Date | 2008-03-12 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | Po Box 602148 |
|---|---|
| City | Charlotte |
| State | North Carolina (NC) |
| Post Code | 282602148 |
| Phone Number | 7046673380 |
| Fax Number | 7046673381 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 0010-00779 |
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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 Kacie Jo Costell Moody's unique identification number?
The Kacie Jo Costell Moody has been assigned the NPI (National Provider Identifier) Number 1841461373 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Kacie Jo Costell Moody is physically located?
The Kacie Jo Costell Moody is situated at the following address: Po Box 602148, Charlotte, NC 282602148.
What is Kacie Jo Costell Moody's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kacie Jo Costell Moody is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
On what date was the 1841461373 assigned to Kacie Jo Costell Moody?
The Kacie Jo Costell Moody was issued its 1841461373 on 2008-03-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Kacie Jo Costell Moody most recently updated?
The details pertaining to the Kacie Jo Costell Moody, including its address, specialty, and other relevant information, were last refreshed on 2022-07-21.