Kenya Demeta Bass in Fayetteville - Physician Assistant
Kenya Demeta Bass - NPI 1942387485
Kenya Demeta Bass is a Physician Assistant in Fayetteville, North Carolina. Kenya Demeta Bass practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kenya Demeta Bass is 1942387485. The last update date is 2019-06-11.
Kenya Demeta Bass's current location address is 1905 Skibo Rd Ste 100, Fayetteville, North Carolina. You can contact this provider via phone number 9108644357 and fax number 9102210099. The mailing address for Kenya Demeta Bass is 1905 Skibo Rd Ste 100, Fayetteville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenya Demeta Bass |
|---|---|
| Address | 1905 Skibo Rd Ste 100, Fayetteville, North Carolina |
| Phone Number | 9108644357 |
| Fax Number | 9102210099 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1942387485 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2019-06-11 |
Provider Mailing Address Detail
| Address | 1905 Skibo Rd Ste 100 |
|---|---|
| City | Fayetteville |
| State | North Carolina (NC) |
| Post Code | 283140261 |
| Phone Number | 9108644357 |
| Fax Number | 9102210099 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 103419 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1942387485 | NC | -- |
Post Comment/ Review Below
Could you share the physical location details of Kenya Demeta Bass?
The Kenya Demeta Bass is situated at 1905 Skibo Rd Ste 100, in the city of Fayetteville, state of NC, with the zip code 283140261.
When did Kenya Demeta Bass receive its 1942387485 assignment?
The Kenya Demeta Bass was assigned its 1942387485 on 2006-11-01, which is the date when this unique identifier was issued to the organization.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1942387485 to Kenya Demeta Bass?
The Centers for Medicare & Medicaid Services originally issued the 1942387485 to Kenya Demeta Bass on 2006-11-01.
As of what date were the details pertaining to Kenya Demeta Bass last refreshed?
The information related to the Kenya Demeta Bass, including its address, specialty, and other relevant details, was last updated on 2019-06-11.
When was the information regarding Kenya Demeta Bass, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kenya Demeta Bass, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2019-06-11.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC