Kenneth Debarth in Elizabeth City - Physician Assistant
Kenneth Debarth - NPI 1811941495
Kenneth Debarth is a Physician Assistant in Elizabeth City, North Carolina. Kenneth Debarth practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kenneth Debarth is 1811941495. The last update date is 2008-02-18.
Kenneth Debarth's current location address is 1134 N Road St, Elizabeth City, North Carolina. You can contact this provider via phone number 2523389451 and fax number 2523389170. The mailing address for Kenneth Debarth is 1134 N Road St, Elizabeth City, North Carolina. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kenneth Debarth |
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Address | 1134 N Road St, Elizabeth City, North Carolina |
Phone Number | 2523389451 |
Fax Number | 2523389170 |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1811941495 |
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Provider Enumeration Date | 2006-05-19 |
Last Updated Date | 2008-02-18 |
Provider Mailing Address Detail
Address | 1134 N Road St |
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City | Elizabeth City |
State | North Carolina (NC) |
Post Code | 279093365 |
Phone Number | 2523389451 |
Fax Number | 2523389170 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | 101944 |
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 Kenneth Debarth by the Centers for Medicare & Medicaid Services?
The Kenneth Debarth has been issued the NPI (National Provider Identifier) 1811941495, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Kenneth Debarth is located?
The Kenneth Debarth is situated at the following address: 1134 N Road St, Elizabeth City, NC, 279093365.
What is Kenneth Debarth's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kenneth Debarth is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1811941495 to Kenneth Debarth?
The Centers for Medicare & Medicaid Services originally issued the 1811941495 to Kenneth Debarth on 2006-05-19.
As of what date were the details pertaining to Kenneth Debarth last refreshed?
The information related to the Kenneth Debarth, including its address, specialty, and other relevant details, was last updated on 2008-02-18.
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